妇科肿瘤并发深静脉血栓39例的临床特点和护理防治

Clinical features and nursing of 39 gynecological cancer patients complicated with deep venous thrombosis

目的探讨妇科肿瘤患者并发深静脉血栓的临床特点和护理措施,降低其静脉血栓形成的发病率,改善预后。方法回顾性分析2003年12月~2013年12月在南方医科大学南方医院住院治疗的39例并发下肢深静脉血栓的妇科肿瘤患者的临床特点及护理方法。结果 39例妇科肿瘤患者均在顺利完成手术或放化疗后发生下肢深静脉血栓,予以抗凝及溶栓治疗,病情好转后出院。电话随访至出院后6个月,均反馈无静脉血栓复发。结论提高对妇科恶性肿瘤患者血栓形成的警惕,有助于预防及早期发现血栓形成;构建有效的远期随访机制有助于更好地管理该类患者并发现血栓形成的更多危险因素,有利于提升院内及院外的护理水平。

Objective To explore the clinical characteristics and nursing of patients with gynecological tumors complicated with deep venous thrombosis, reduce the incidence of venous thrombosis, so as to improve the prognosis. Methods The clinical characteristics and nursing management of 39 patients with gynecological tumor and complicated deep venous thrombosis were retrospectively analyzed from December 2003 to December 2013 in the Nanfang Hospital,Southern Medical University. Results The thrombus of lower extremity veins occurred after tumor surgery, radiation or chemotherapy among 39 patients with gynecological tumor. All patients were given anticoagulation and thrombolysis treatment, then remission and discharged. A follow-up was conducted 6 months after discharge by telephone, and there was no recurrence of venous thrombosis. Conclusion To strengthen the nursing management of thrombosis in patients with gynecological malignancies helps prevent the incidence of venous thrombosis. Building an effective long-term follow-up system not only contributes to a better management of these patients and to find out more risk factors of thrombosis, but also improves the level of nursing care.