下肢动脉闭塞症介入术后留置动脉导管溶栓治疗的护理体会

Nursing experience of the arterial catheter thrombolysis therapy after lower extremity arterial occlusive disease intervention

目的:探讨动脉留置导管溶栓治疗的护理措施。方法:回顾132例动脉留置导管患者的治疗护理资料。结果:堵管4例,鞘管部分脱出2例,穿刺点血肿4例,穿刺点出血5例,过度灌注综合征22例,血栓栓塞1例,皮下出血5例,其他脏器出血3例。3例无好转出院,3例转骨外科截肢治疗,1例死于心力衰竭,125例好转出院。结论:护士的专业知识和技术、精心护理、慎独精神是保证动脉导管位置正确、用药精确、时间准确的前提,是保证治疗效果的重要环节。

Objective:To explore the nursing measures of artery indwelling catheter thrombolysis therapy.Methods:We retrospective analyzed the data of 132 patients with arterial catheter treatment and care information.Results:4 cases were pipe blockage, 2 cases were part of the prolapse sheath,4 cases were puncture site hematoma,5 cases were hemorrhage of puncture point,22 cases were hyperperfusion syndrome,1 cases was thromboembolism,5 cases were subcutaneous hemorrhage,3 cases were other organ hemorrhage.3 cases had no improved and discharged,3 cases were turned to bone surgical treated by amputation,1 cases died of heart failure,125 cases were improved and discharged.Conclusion:Nurses' professional knowledge and technology, careful nursing,Shendu spirit is a prerequisite to ensure the correct position,use accurate arterial catheter,time accurate,it also is an important link to ensure the treatment effect.