急性肠系膜血管缺血性疾病的护理对策

Nursing strategy for acute mesenteric vascular ischemic diseases

目的:探讨急性肠系膜血管缺血性疾病的护理对策。方法:总结我院2008年1月到2016年1月间住院的急性肠系膜动脉栓塞30例和肠系膜上静脉血栓形成25例病例资料和护理工作。结果:19例急性肠系膜动脉栓塞行肠系膜上动脉置管取栓、溶栓术;36例行小肠大部分切除术:保留小肠长度在10cm以下的患者5例,术后均死亡;保留小肠长度在10-50cm的10例患者均出现短肠综合征,转上级医院继续治疗;21例保留小肠长度在100cm以上的患者术后并发下肢深静脉血栓形成15例,2例发生肺动脉栓塞,经抢救无效死亡。结论:密切观察病情变化、做好肠系膜上动脉置管溶栓的护理、肠切除术术后护理、下肢深静脉血栓形成的护理、对康复患者健康宣教,有助于急性肠系膜血管性疾病患者快速康复。

[Objeodve] To investigate nursing strategy for acute mesentedc vascular ischemic diseases. [Method] 30 patients with acute superior mesenteric artery embolism and 25 patients with acute superior mcsentcric vein thrombosis from January 2008 to January 2016 in Yiwu central hospital was admitted. Case records and nursing services on those patients were reviewed. [ Result] Embolectomy and thromlolysis were done on 19 patients with acute mesenteric superior artery embolism. Partial enterectomy was done on other patients. 5 patients with less than 10cm ileum died. 10 patients with 10cm to 50cm ileum had short bowel syndrome and were sent to superior hospital for further treatment. Among 21 patients with more than 100cm ileum, 15 patients suffered from deep venous thrombosis in lower extremity （LEDVT）. 2 patients were died of pulmonary embolism and others re- covered. [ Conclusion] Close observation on change of disease, thromlolysis catheter nursing post- enterectomy nursing, LEDVT nursing, healthy education are beneficial to rapid recovery in acute mcsenteric？ vascular ischemic diseases.