介入溶栓治疗下肢动脉血栓的临床护理及效果观察.docxVIP

介入溶栓治疗下肢动脉血栓的临床护理及效果观察 谢贤敏 杨洪云(四川省彭州市人民医院611930) 【中图分类号】R473.5【文献标识码】B【文章编号】1672-5085 (2012 ) 30-0291-02 【摘要】目的 探讨介入溶栓治疗下肢动脉血栓的临床护理要点及治疗效果观 察。方法2011-2012年3月，共对12例下肢动脉血栓患者实施DSA下肢动脉 造影明确血栓的部位，并进行溶栓治疗。术前做好患者的心理护理，做好器材及 药品准备；术中抢救器械抢救药品处于备用状态，作好术中配合及病情观察；术 后护理，观察患者牛命体征变化，观察溶栓效果及相关症状变化,给予科学的护 理措施，促进病员顺利康复。结果12例患者经介入溶栓治疗，其中8例在术 中即能扪及足背动脉搏动，4例术中未能扪及足背动脉搏动，但患者皮肤变暖, 皮肤颜色正常，经治疗后第二天可扪及足背动脉搏动，12例患者均再通成功， 有2例恢复供血后出现肢体远端有热感，1天后消失。所有病例均未出现出血等 副作用。结论运用介入溶栓方法治疗下肢动脉血栓效果明显，及时恢复血运, 可避免因患肢严重缺血而发牛不可避免的组织坏死，导致病情变化，患者截肢甚 至死亡。 【关键词】下肢动脉血栓 介入溶栓 护理 Clinical nursing and effects observation of interventional thrombolytic therapy for lower-extremity arterial thrombosis Xie xianmin, Yanghongyun (Peoplersquo;shospital of PengZhou City, PengZhou, Sichuan 611930) [Abstract] Objective: To in quire into clinical n ursi ng tips on in terve ntional thrombolytic therapy for lower-extremity arterial thrombosis, as well as its therapeutic effects. Methods: Between March of 2011 and that of 2012, some twelve patients with lower-extremity thrombosis were givendSA angiography in order to locate the thromboses, then interventional thrombolytic therapy. Psychological nursing wasdone, apparatus and pharmacy were also prepared beforehand and availableduring the operation; co-operation and observation were concerned too. After that, observation for changes of patientsrsquo; vital signs, effects of thrombolysis anddevelopments of related symptoms as well as scientific nursing were carried out with great care to prompt recovery of patients. Results: Of all that twelve patients who underwent the therapy, eight were able to feel the pulses ofdorsal pedal artery, while the other four failed the test, whose skin bcame warm and color of that tur ned no rmal though. With a sec on ddayrsquo;s treatme ntz pulses were to be felt. All those twelve patients recovered successfully, though some two patie nts suffereddistalhot ness, whichdisappeared the n ext day. No side-effects such ashaemorrhage occurred. Conclusion: Intervent