妇产科术后下肢深静脉血栓的预防和并发症的护理

Prevention of deep venous thrombi of lower extremities and nursing of complication after obstetric and gynecologic operations

目的 探讨妇科手术后并发下肢深静脉血栓形成（ DVT） 的预防和护理对策.方法 自2003年4月至2010年8月,我院妇产科手术后并发下肢深静脉血栓共15例,发生时间为术后2～6 d,发病年龄为26～74岁,现回顾性分析这55例并发DVT患者的预防及护理措施.结果 55例并发DVT患者在早期干预及有效的护理之后,54例好转痊愈出院,1例因栓子脱落导致肺动脉栓塞予转院治疗.结论 妇科术后发生DVT与多种因素有关,根据其危险因素及手术大小,对高危人群进行早期干预及加强护理能提高DVT的治愈率.

Objective To discuss the prevention and nursing of DVT after obstetric and gynecologic operations.Methods To retrospectively analyze the prevention and nursing for 55 patients with DVT from April, 2003 to October,2010.DVT occurrence was 2 to 6 days after operation and the morbidity age was from 26 to 74.Results Fifty-four patients of them were cured with effective nursing measures, but one case was transferred to another hospital because the embolus dropped out and induced pulmonary embolism.Conclusions The occurrence of DVT after gynecological operation is related to many factors. Earlier intervention and intensive care of high-risk groups can reduce the incidence of DVT based on the factor of danger and the size of operation.