下肢动脉硬化闭塞症血管腔内介入治疗后并发症的观察和护理

The observation and nursing of vascular cavity in intravascular interventional therapy with crura arteriosclerosis obliterans

目的总结21例下肢动脉硬化性闭塞症(ASO)腔内介入治疗的并发症观察和护理经验。方法对21例下肢ASO患者行经皮血管成形术(PTA)和PTA后选择性支架置入术,并进行观察护理,对其并发症的护理经验进行总结。结果 1例术后发生导管阻塞,2例术后出现穿刺点渗血、血肿,1例拔管后出现腹膜后血肿、失血性休克,1例术后并发下肢深静脉血栓形成,均被及时发现并得到正确治疗、护理后康复,术后死亡1例。结论 ASO介入治疗并发症发生率较高,认真细致的观察护理,早发现问题,及时地采取有效的措施,对疾病的预后非常关键。

Objective To summarize the experiences of the observation and nursing of the method and curative effect of intravascular interventional therapy on 21 patients with low extremity arteriosclerosis obliterans （ASO）. Methods 21 cases of pa- tients with ASO were treated with percutaneous angioplasty （PTA） and followed by stent implantation, The nursing was observed and the nursing experiences of the complications were summarized. Results 1 had postoperative catheter obstruction, 2 had post- operative bleeding and hematomaon puncture site, 1 had ret roperitoneat hematoma and hemorrhagic shock after extubation, and 1 had complicated deep venous thrombosis, All were found and got the fight care in time. 1. deed. Conclusion Arteriosclerosis ob- literans （ASO） and interventional therapy have heigh incidence, serious and careful observation care, early detection problem, it＇ s critical to take effective measures to disease prognosis.