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目的:观察在压力可控止血带联合微量泵,经足背浅静脉穿刺溶栓治疗下肢静脉血栓的方法下,对足背静脉留置针的护理方案。方法:回顾性分析我院2年间89例急性下肢深静脉血栓患者经足背浅静脉溶栓过程中,足部留置针的穿刺、护理、及并发症的处理。结果:89例下肢深静脉血栓患者均行下腔静脉滤器植入术,经足背浅静脉持续泵入尿激酶溶栓,肝素钠抗凝治疗,压力可控止血带阻断浅静脉。其中发生套管堵塞3例,液体渗漏10例,局部静脉炎6例。结论:下肢深静脉血栓足部肿胀,经患肢持续溶栓抗凝治疗,留置针可避免反复穿刺的痛苦,减轻护士的负荷,保障有效的治疗。但规范的操作,及时的观察和护理是关键。
OBJECTIVE: To observe the nursing regimen of dorsal-venous needle placement under pressure-controlled tourniquets combined with micropumps and dorsal superficial venous thrombolysis in the treatment of lower extremity venous thrombosis. Methods: A retrospective analysis of 89 cases of acute lower extremity deep venous thrombosis in our hospital during the process of dorsal superficial vein thrombolysis, foot indwelling needle puncture, nursing, and complications of treatment. Results: All the 89 patients with deep venous thrombosis of the lower extremity underwent IVF occlusion. Urokinase thrombolysis and heparin sodium anticoagulation were performed via the superficial dorsal superficial vein. The pressure was controlled by the tourniquet to block the superficial vein. Among them, 3 cases of occlusion of the sleeve occurred, 10 cases of fluid leakage and 6 cases of local phlebitis. Conclusion: The feet of deep venous thrombosis in lower extremity are swollen, and thrombolytic anticoagulation is continued through limbs. The indwelling needle can avoid the pain of repeated puncture, reduce the load of nurses and ensure effective treatment. But the standard operation, timely observation and care is the key.