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目的:探讨高原地区导管溶栓治疗下肢深静脉血栓的临床特点,观察分析护理措施及效果,总结护理体会,为临床护理工作提供指导。方法:对高原地区28例下肢深静脉血栓患者应用导管置入局部血栓处,微量泵持续、匀速输注尿激酶进行溶栓。结果:28例中治愈11例,显效15例,无效2例。在溶栓及住院过程中,发生导管移位1例、皮肤瘀斑及牙龈出血2例、急性肺栓塞1例。其余患者溶栓过程均顺利,未出现并发症。结论:导管溶栓过程中,需随时监测凝血指标、加强溶栓导管护理、患肢及静脉血管的保护、戒除烟酒、饮食调理、室内湿度的调整等。最大限度地减少并发症,保证溶栓过程顺利,达到预期的治疗目的。
Objective: To investigate the clinical features of catheter thrombolysis in the treatment of deep venous thrombosis of lower extremities in plateau, observe and analyze nursing measures and effects, summarize nursing experience, and provide guidance for clinical nursing. Methods: 28 cases of deep venous thrombosis of lower extremities in the plateau were implanted with local thrombosis, and continuous and constant infusion of urokinase by micro-pump. Results: In 28 cases, 11 cases were cured, 15 cases were markedly effective and 2 cases were ineffective. During thrombolysis and hospitalization, 1 case of catheter displacement, 2 cases of ecchymosis and gingival bleeding and 1 case of acute pulmonary embolism occurred. Thrombolysis in other patients were smooth, no complications. Conclusion: During the course of catheter thrombolysis, blood coagulation index should be monitored at any time to enhance the protection of thrombolytic catheter, limbs and veins, quit alcohol and tobacco, dietary conditioning and indoor humidity adjustment. Minimize complications and ensure smooth thrombolysis, to achieve the desired therapeutic purpose.