超长时间静脉窦血栓形成患者抗凝联合血管内治疗的护理

Nursing care of a patient with prolonged venous sinus thrombosis treated with anticoagulation combined with intravascular therapy

总结1例超长时间静脉窦血栓形成患者抗凝联合血管内治疗的护理体会。针对该例患者术前出现颅内压增高,术后抗凝与出血风险的动态评估与治疗、留置溶栓微导管鞘护理等问题,采取双轨制病情观察,目标导向制监测,做好留置溶栓微导管期间的体位、皮肤、活动管理等护理措施。经治疗与护理,该患者于溶栓术后第9天康复出院,术后6个月随访,未见静脉窦血栓复发。

To summarize the nursing care of a patient with prolonged venous sinus thrombosis treated with anticoagulation combined with intravascular therapy.In response to the preoperative increase in intracranial pressure,we adopted dynamic assessment and treatment of postoperative anticoagulation and bleeding risks,and nursing care of indwelling thrombolytic microcatheters in this patient,a dual track observation system,target oriented monitoring,and proper management of posture,skin,and activity during the indwelling thrombolytic microcatheters.After treatment and care,the patient recovered 9 days after thrombolysis and was discharged from the hospital.After 6 months of follow-up,there was no recurrence of venous sinus thrombosis.