摘要
外科术后下肢深静脉容易形成血栓,这种病症是临床中常见的相关并发症,一般发生部位于下肢,60%以上的患者出现在左侧,若治疗处理不当极易发生严重的伴随综合征,可能会危及患者生命。如果引起了肺部血管栓塞,病死率相当高,一般在70%以上,这成为术后危重患者致残和死亡的原因之一。外科手术给患者的身体造成巨大的创伤面,导致患者大量出血,这会引发全身性的凝血功能进行运作,使体内血小板等成分升高,造成血液凝固性强,此时极易引发栓塞,加之后续的卧床调养、下身的肌肉松弛、血液流速慢就很容易导致下肢静脉血栓的形成。本人结合多年的工作经验,对这一病症的术后护理进行分析和研究,对患者进行认真的评估,对高危人群的健康宣教及采取有效的预防措施,在护理过程中,采用积极的恢复手段,患肢抬高位、药物治疗特别是食疗等,都可以降低外科术后下肢深静脉血栓的发生率。对外科术后下肢深静脉血栓患者尽早采取有效的溶栓、抗凝等治疗,密切观察病情,积极的护理配合能达到明显的治疗效果,预后良好。
Deep vein thrombosis, which is common in clinical surgery, is a common complication in clinic. It is located in the lower extremities, and more than 60% of patients appear on the left. If the pulmonary blood vessel embolism, the mortality is high, generally in more than 70%, which is a critical cause of death in critically ill patients. Surgical operation of the patient＇s body caused a huge trauma, leading to a large number of patients with bleeding, this will lead to systemic coagulation function to operate, so that the body of platelets and other ingredients, resulting in blood clotting, and now easily lead to embolism, coupled with the follow-up of the lower body muscle relaxation, blood flow velocity is very easy to lead to the formation of lower extremity venous thrombosis. Combined with many years of work experience, analysis and Research on the postoperative care of the disease, through the careful assessment of patients, health education and effective prevention measures for high risk groups, in the process of nursing, using active recovery means, through the affected limb to carry out high, drugs, especially therapeutic, etc.. It has proved that these methods can reduce the incidence of deep venous thrombosis after surgery. For the patients with deep venous thrombosis in the lower extremity after surgery as soon as possible to take effective thrombolysis, anticoagulation and other treatment, close observation of the disease, active nursing cooperation can achieve the obvious therapeutic effect, the prognosis is good.
出处
《中国城乡企业卫生》
2015年第6期47-50,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
术后恢复
下肢深静脉血栓
外科手术
Postoperative recovery
Deep venous thrombosis
Surgical operation
