急性肠系膜静脉血栓形成患者介入治疗的护理

发布时间：2018-06-20 08:20

本文选题：急性肠系膜静脉血栓形成 + 介入溶栓治疗　；参考：《介入放射学杂志》2016年11期

【摘要】：目的总结介入溶栓治疗急性肠系膜静脉血栓形成患者的护理。方法对19例急性肠系膜静脉血栓患者行经皮穿刺股动脉、肠系膜上动脉置管间接肠系膜静脉溶栓治疗,总结分析术前、术后的护理措施,包括术前心理护理、有效的胃肠减压、病情观察评估、早期介入手术,术后严密的病情观察、溶栓护理、抗凝护理及营养支持。结果 19例置管溶栓患者在术前术后规范的治疗及护理下,1例溶栓48 h后出现腹痛进行性加重、腹膜刺激征,转外科手术治疗。18例患者介入治疗后症状缓解,排便正常。出院后随访12个月,18例患者均无明显的腹痛腹胀,排便正常。结论介入溶栓治疗是治疗急性肠系膜静脉血栓患者的安全、有效的方法。充分术前评估准备、早期介入溶栓以及术后病情的严密监测、溶栓抗凝护理、并发症的观察是手术成功和患者早期康复的重要保障。
[Abstract]:Objective to summarize the nursing care of patients with acute mesenteric venous thrombosis treated by interventional thrombolysis. Methods 19 patients with acute mesenteric venous thrombosis were treated with indirect mesenteric vein thrombolytic therapy by percutaneous puncture of femoral artery and superior mesenteric artery. The nursing measures before and after operation were summarized and analyzed, including preoperative psychological nursing, effective gastrointestinal decompression. State observation, early interventional surgery, postoperative rigorous observation, thrombolytic care, anticoagulant care and nutritional support. Results 19 patients with thrombolytic therapy were treated before and after operation and 1 patient developed abdominal pain progressive aggravation after 48 hours of thrombolytic therapy, peritoneal irritation sign, and 18 patients with normal defecation after interventional therapy. After 12 months follow-up, 18 patients had no obvious abdominal distension and normal defecation. Conclusion Interventional thrombolysis is a safe and effective method for the treatment of acute mesenteric venous thrombosis. Adequate preoperative evaluation, early interventional thrombolytic therapy and close monitoring of postoperative condition, thrombolytic anticoagulant nursing care and observation of complications are important guarantees for successful operation and early recovery of patients.
【作者单位】：江苏省南通市第一人民医院介入科;
【分类号】：R473.5

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