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剖宫产术后静脉血栓形成的临床分析及护理

Clinical analysis and nursing care of postoperative patients with phlebothrombosis after underwent cesarean section

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【作者】 王春红李玉景翟锦娣

【Author】 Wang Chunhong,Li Yujin,Zhai Jindi (People’s Hospital of Boluo County Huizhou City Guangdong Province,Guangdong 516100 China)

【机构】 广东省惠州市博罗县人民医院广东省惠州市博罗县人民医院

【摘要】 [目的]总结剖宫产术后下肢深静脉血栓形成病人的预防和护理体会[方法]对已发生深静脉血栓的病人,在抗凝、溶栓期间,检测凝血指标,观察出血倾向,对肿胀的肢体行肿消散外敷,在置管溶栓期间做好溶栓导管的护理,采取有效措施预防肺栓塞的发生。[结果]本组病人经治疗护理后,临床症状体征完全缓解。[结论]采取促进静脉血液回流,防止静脉内膜损伤和防止血液高凝状态的有效措施是防止剖宫产术后下肢深静脉血栓形成的关键。

【Abstract】 Objective: To summarize prevention and nursing experiences on postoperative patients with lower extremity deep vein thrombosis after underwent cesarean section. Methods: Indexes of blood clotting were detected, and hemorrhagic tendency was observed during anticoagulation and thrombolysis therapy for postoperative patients with lower extremity deep vein thrombosis after underwent cesarean section. Detumescence powders was applied on oncotic extremity and nursing care of thrombolysis catheter was conducted well during the process of thrombolysis via indwelling catheter. And effective measures were taken for them to prevent pulmonary embolism. Results: Clinical symptoms and objective signs of patients in this group were relieved completely after the treatment and nursing care. Conclusion: It is key to prevent lower extremity deep veins thrombosis for postoperative patients after cesarean section by taking effective measures through promoting venous blood recirculation, to prevent injury of tunica intima of vein and to prevent hypercoagulabale state of blood.

  • 【分类号】R473.71
  • 【被引频次】2
  • 【下载频次】41
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