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目的:探讨低分子肝素(LMWH)联合华法林治疗心房颤动合并左心房血栓形成的临床效果与护理方法。方法:对28例心房颤动合并左心房血栓形成患者在常规治疗基础上腹部皮下注射LMWH,同时口服华法林,并给予精心护理。结果:本组患者随访1年,心脏超声结果显示左心房血栓均消失,无一例出现周围血管栓塞及其他严重并发症。结论:LMWH联合华法林治疗心房颤动合并左心房血栓形成疗效确切,精心护理是患者康复的保障。
Objective: To investigate the clinical effect and nursing of low molecular weight heparin (LMWH) combined with warfarin in the treatment of atrial fibrillation combined with left atrial thrombosis. Methods: Twenty-eight patients with atrial fibrillation and left atrial thrombosis underwent routine subcutaneous injection of LMWH on the basis of routine treatment. Meanwhile, warfarin was given orally and meticulously. Results: The patients were followed up for 1 year. The results of echocardiography showed that left atrial thrombus disappeared, and no peripheral blood vessel embolism and other serious complications occurred. Conclusion: LMWH combined with warfarin in the treatment of atrial fibrillation with left atrial thrombosis is effective, meticulous care is the protection of patients.