摘要
目的观察溶栓抗凝治疗急性肺栓塞的临床疗效，并探讨治疗前、中、后的护理要点。方法对32例急性肺栓塞患者给予尿激酶静脉溶栓和低分子肝素联合华法林抗凝治疗，同时加强监测和护理，观察其临床疗效及治疗前后血气指标的变化。结果治愈19例（59．38％），好转12例（37．50％），死亡1例（3．12％），总有效率为96．88％。溶栓抗凝治疗后，PaO2由（68．1±6．7）mmHg升至（81．6±6．3）mmHg，而PaCO：由（57．1±4．9）mmHg降至（48．5±5．0）mmHg，治疗前后比较均有显著性差异（P〈0．01）。结论急性肺栓塞早期诊断，及时溶栓抗凝治疗，加之精心护理可降低死亡率。
Objective To observe the clinical efficacy of thrombolytic and anticoagulant treatment in patients with acute pulmonary embolism （APE） , and to explore the care points before treatment, in treatment and after treatment. Methods A total of 32 patients with APE were given intravenous thrombolysis with urokinase and low molecular weight heparin and warfarin anticoagulation therapy. At the same time, monitoring and nursing were strengthened. The clinical efficacy and blood gas analysis before and after treatment were observed. Results Cure 19 patients （59, 38% ） , improving 12 cases （37± 50% ）, death 1 cases （3.12%） , and the total effective rate was 96. 88%. After thrombolysis and anticoagulant therapy, PaO2 by （ 68. 1 ±6. 7 ） mmHg rose to （ 81.6 ±6. 3 ） mmHg, and PaCO2 by （57.1±4. 9 ） mmHg fell to （48.5 ±5.0） mmHg, there was significant difference between before and after treatment （P 〈 0.01 ） . Conclusions Early diagnosis of APE, timely thrombolysis anticoagulant therapy, together with meticulous care can reduce mortality.
出处
《国际护理学杂志》
2012年第9期1747-1748,共2页
international journal of nursing
关键词
急性肺栓塞
溶栓
抗凝
护理
Acute puhnonary embolism
Thrombolytic
Anticoagulant
Nursing
