内科住院老年患者发生急性肺血栓栓塞的危险因素分析及护理对策

目的 探究内科住院老年患者发生急性肺血栓栓塞(PTE)的危险因素以及护理对策.方法 选取我院2012年3月至2015年3月发生急性PTE的内科老年住院患者56例,设置为观察组,并选取同期住院的未发生急性PTE的老年内科住院患者43例设置为对照组,分析内科住院老年患者发生急性PTE的危险因素及护理方法.结果 血氧分压＜ 80 mmHg、二氧化碳分压＜35 mmHg、肺泡-动脉血氧分压＞20 mmHg、创伤手术、心肺疾病、下肢深静脉血栓形成、长期吸烟伴肿瘤、制动均是导致内科住院老年患者急性PTE发生的危险因素(P＜0.05).结论 临床应对内科临床住院的进行过手术的、伴有创伤、心肺疾病、下肢深静脉血栓形成、长期吸烟伴肿瘤、制动差的老年患者加以重视,给予急性PTE患者全面有效的护理能提高患者生存率.

Risk Factors and Nursing Measures of Acute Pulmonary Thromboembolism in Elderly Patients Hospitalized in Department of Internal Medicine

Objective To explore the risk factors and nursing measures of acute pulmonary thromboembolism(PTE) in elderly patients hospitalized in department of internal medicine.Methods 56 cases of acute PTE hospitalized in department of internal medicine in our hospital between March 2012 and March 2015 were selected as observation group,and another 43 elderly patients without acute PTE were selected as the control group at the same time.The risk factors and nursing measures of acute pulmonary thrombus were analyzed.Results Partial pressure of oxygen ＜ 80 mmHg,partial pressure of carbon dioxide ＜ 35 mmHg,partial pressure of alveolar-arterial oxygen ＜ 20 mmHg,trauma surgery,cardiopulmonary diseases,deep vein thrombosis of the lower extremity,long-term smoking and tumor and immobilization were the risk factors for acute PTE in elderly patients hospitalized in department of internal medicine (P ＜ 0.05).Conclusion Clinical attention should be paid to elderly patients who are hospitalized in the department of clinical medicine,who underwent surgery,with trauma,cardiopulmonary diseases,deep vein thrombosis of the lower extremity,long-term smoking and tumor,and poor immobilization.Comprehensive and effective nursing can can improve the survival rate of patients with acute PTE.