持续动脉置管溶栓治疗下肢缺血性疾病的护理体会

Nursing Experience of Continuous Arterial Catheter-Directed Thrombolysis in the Treatment of Lower Extremity Ischemia Diseases

目的:总结持续动脉置管溶栓(catheter-directed thrombolysis,CDT)治疗下肢缺血性疾病的护理经验。方法:回顾分析2010年3月—2014年10月复旦大学附属中山医院血管外科收治的99例下肢动脉缺血性疾病患者在接受持续动脉CDT治疗期间的护理情况,主要护理措施包括术前患肢的护理、术后溶栓导管的护理以及并发症的预防和护理等。结果:99例患者经过CDT治疗后,1例发生感染性休克死亡;4例需要截肢;其余94例患者缺血情况明显改善,恢复良好。结论:针对下肢缺血性疾病患者,在围手术期给予合理、有效的护理措施是决定CDT疗效的重要因素之一。

Objective：To summarize the nursing experience in the treatment of ischemic diseases of lower extremily by continu- ous arterial catheter-directed thrombolysis （CDT）. Methods： From March 2010 to October 2014, 99 patients with lower ex- tremity ischemic diseases were treated by continuous arterial CDT in Vascular Department, Zhongshan Hospital, Fudan Uni versity. The routine nursing records were reviewed. The main nursing measures included the preoperative nursing of ischemic limb, postoperative nursing of thrombolytic catheter as well as the prevention and nursing of the complications. Results： A mong the 99 patients accepted CDT treatment, there were 1 case of death resulted from septic shock, 4 cases of amputation, while the ischemia situation of the remaining 94 patients were improved with good recovery. Conclusions： For the patients with ischemic diseases of lower extremity, taking reasonable and effective nursing measures in peri-operation period is one of the fac tors to determine the efficacy of CDT.