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[目的]总结杂交手术治疗急性下肢动脉栓塞的围术期护理。[方法]对41例急性下肢动脉栓塞病人术前做好病情的观察、心理护理及患肢护理;术后做好生命体征的监测、患肢缺血再灌注的观察及溶栓导管护理和伤口处理。[结果]41例病人均取出血栓,术后留置导管溶栓,2例病人就诊时因足趾严重缺血,经积极取栓手术治疗无效而截肢,但仍在最大程度保留了肢体,其余39例病人采用杂交手术治疗后,下肢动脉均通畅,无残留血栓;其中3例病人在下肢动脉血流重建术后6h~12h出现骨膜室综合征行小腿切开减张术。随访1个月~6个月,其中2例病人足趾末端出现干性坏疽,其余37例病人恢复保住了肢体。[结论]加强急性下肢动脉栓塞杂交手术治疗的围术期护理有利于预后。
[Objective] To summarize the perioperative nursing of hybrid surgery for acute lower extremity arterial embolism. [Methods] 41 cases of acute lower extremity arterial embolism patients were well preoperative condition observation, psychological care and limb care; postoperative vital signs monitoring, limb ischemia-reperfusion observation and thrombolytic catheterization and wounds deal with. [Results] Thrombus was removed in all 41 patients. Indwelling catheters were thrombolyzed after operation. Two patients were severely weaned from the toes at the time of diagnosis. Amputation was ineffective after active thrombectomy, but the limbs were still retained to the maximum extent. Cases of patients treated with hybrid surgery, the lower extremity arteries were unobstructed, no residual thrombosis; 3 patients in the lower extremity arterial blood flow reconstruction after 6h ~ 12h periosteal syndrome occurred calf incision and decompression. Follow-up 1 month to 6 months, 2 cases of patients with dry ganglus appeared at the end of the toe, and the rest of the 37 patients recovered to keep the limbs. [Conclusion] Perioperative nursing to strengthen the surgical treatment of acute lower extremity arterial embolism is beneficial to the prognosis.