6例重型再生障碍性贫血合并弥漫性血管内凝血患者的护理

发布时间：2019-06-05 05:54

【摘要】：总结了6例重型再生障碍性贫血合并弥漫性血管内凝血(disseminated intravascular coagulation,DIC)患者的护理经验。通过积极预防口腔、呼吸道、皮肤、肛周感染,可以降低败血症、重症肺炎发生;监测出凝血指标,判断DIC疾病时相、出血表现,减少皮肤穿刺,局部用药、冷敷、压迫,可以减少皮肤、鼻腔、口腔出血;严格控制肝素滴速、监测出凝血指标、随时向医生汇报、掌握处理肝素过量的处理方法,可以增加肝素用药的安全性,提高早期DIC肝素治疗的临床应用率;心理指导可以降低患者用力过度、意外摔倒导致脑出血发生。经过治疗和精心护理,6例患者好转出院5例,死亡1例。
[Abstract]:The nursing experience of 6 patients with severe aplastic anemia complicated with disseminated intravascular coagulation (disseminated intravascular coagulation,DIC was summarized. By actively preventing oral, respiratory, skin and perianal infections, septicemia and severe pneumonia can be reduced. Monitoring coagulation indexes, judging the phase of DIC disease, bleeding manifestations, reducing skin puncture, local drug use, cold compress, compression, can reduce skin, nasal cavity, oral bleeding; Strictly controlling the speed of heparin drip, monitoring the coagulation index, reporting to the doctor at any time, mastering the treatment method of heparin excess can increase the safety of heparin treatment and improve the clinical application rate of early DIC heparin treatment. Psychological guidance can reduce the excessive force of patients, accidental fall leading to cerebral hemorrhage. After treatment and careful nursing, 5 cases were discharged from hospital and 1 case died.
【作者单位】：桂林医学院附属医院血液内科;
【分类号】：R473.5

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