【摘要】 目的探讨下肢动脉硬化闭塞症介入治疗术中、术后并发症的护理。方法观察并护理2006年7月-2009年6月接受介入治疗的下肢动脉硬化闭塞症的患者380例,其中发生并发症41例。结果术中5例治疗血管破裂或出现动脉夹层、3例出现低血糖反应、2例血压升高;术后3例急性动脉血栓形成、2例下肢深静脉血栓形成、17例不同组织或器官出血、2例发生急性心肌梗死,2例假性动脉瘤、4例下肢过度灌注综合征、1例压疮发生。结论详尽了解既往史、细心观察病情,严密监护,充分进行物品准备,认真交接班是预防和减少并发症发生的有效措施。更多还原

【Abstract】 Objective To discuss the prevention and nursing care of the perioperative complications occurred in interventional therapy for arteriosclerosis obliterans of lower extremity.Methods During the period of July 2006 to June 2009,interventional treatment for the arteriosclerosis obliterans of lower extremity was performed in 380 cases.The clinical data and complications were reviewed and analyzed,and the prevention and nursing care of the complications were summarized.Results Complications occurred in 41 cases.During the surgery,vascular rupture or arterial dissection occurred in 5 cases,hypoglycemia reaction in 3 cases and elevation of blood pressure in 2 cases.The complications,which occurred after the treatment,included acute arterial thrombosis(n = 3),deep vein thrombosis(n = 2),bleeding of different tissues or organs(n = 17),acute myocardial infarction(n = 2),pseudoaneurysm(n = 2),excessive lower limb perfusion syndrome(n = 4)and compression sores(n = 1).Conclusion Detailed information of medical history,careful observation of clinical condition,intensive care of patient,adequate preparation of medical materials,seriously handing over the duty to the next shift and taking one’s turn on duty,etc.are all the effective measures to prevent and to reduce the occurrence of complications.更多还原