摘要
总结4例下腔静脉血栓患者行肾静脉以上临时腔静脉滤器植入联合腔内导管溶栓治疗的护理经验。做好临时性腔静脉滤器置入的护理,严防滤器移位;做好肢体护理及导管溶栓护理;密切观察患者出血情况,监测实验室指标;预防和观察肺栓塞并发症;做好出院指导。4例患者患肢肿胀消退,下腔静脉血栓均消失,出现穿刺点出血1例,导管移位1例,消化道出血1例,经及时发现积极治疗护理,痊愈出院,术后3～4周拔除临时滤器,随防3～38个月无血栓复发。
This paper summarized the nursing experience of four cases of patients with inferior vena cava thrombosis,which were treated with temporary inferior vena cava filter（IVCF） combined with catheter-directed thrombolysis.The importance of nursing went to the placement of IVCF to prevent its displacement,limb nursing and catheter-directed thrombolysis.All the laboratory indexes were under the monitoring and measures were taken for the prevention of complication of pulmonary embolism and education for discharge was conducted as well.During the treatment,bleeding in puncture point occurred in one case,displacement of catheter one case and gastrointestinal bleeding one case and after treatment,all the swelling of extremities and inferior vena cava thrombosis disappeared.IVCF was removed 3 to 4 weeks after discharge and after 3 to 38 months follow-ups,no thrombosis reoccurred.
出处
《护理学报》
2012年第5期58-60,共3页
Journal of Nursing（China）
关键词
下腔静脉血栓
腔静脉滤器
肺动脉栓塞
出血
护理
inferior vena cava thrombosis
vena cava filter
pulmonary embolism
bleeding
nursing care
