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目的探讨肺动脉置管溶栓治疗急性肺动脉栓塞患者的综合护理措施。方法纳入2014年1月至2016年6月赤峰市医院收治的48例急性肺动脉栓塞患者,均植入下腔静脉滤器,并且在肺动脉内留置溶栓导管,经溶栓导管微量泵泵入溶栓药物,血管鞘泵入肝素抗凝治疗,所有患者全程实施综合护理。结果肺动脉置管溶栓治疗的有效率为100%,在溶栓过程中患者出现皮下淤血3例、牙龈出血3例,在调整药物的剂量或暂停该药物后症状消失,无死亡病例。结论肺动脉置管溶栓治疗急性肺动脉栓塞,安全有效,优质的护理可以增加急性肺动脉栓塞的治愈率,减少并发症的发生,提高患者的生存质量。
Objective To investigate the comprehensive nursing measures of pulmonary artery catheter thrombolysis in patients with acute pulmonary embolism. Methods A total of 48 patients with acute pulmonary embolism admitted to Chifeng City Hospital from January 2014 to June 2016 were enrolled in the IVC filter. The thrombolytic catheter was placed in the pulmonary artery and pumped by thrombolysis catheter Drugs, blood vessel sheath pump heparin anticoagulant therapy, all patients throughout the implementation of comprehensive care. Results The effective rate of pulmonary artery catheterization and thrombolysis was 100%. During the process of thrombolysis, there were 3 cases of subcutaneous congestion and 3 cases of gingival bleeding. The symptoms disappeared after adjustment for drug dose or suspension of the drug without death. Conclusion Pulmonary arterial thrombolysis for acute pulmonary embolism is safe and effective. High-quality nursing can increase the cure rate of acute pulmonary embolism, reduce the incidence of complications and improve the quality of life of patients.