腘静脉穿刺治疗下肢深静脉血栓的护理

目的 探讨经腘静脉穿刺置管治疗下肢深静脉血栓(deep venous thrombosis,DVT)的临床护理方法.方法 回顾性分析2007年6月至2011年4月在兰州军区兰州总医院放射科行超声引导下腘静脉穿刺、患肢顺行静脉造影待腘静脉显影后直接穿刺和经健侧股静脉置导丝于患侧腘静脉后穿刺的36例DVT患者的临床资料.所有患者均在留置导管后溶栓和(或)抽吸血栓.结果 本组患者平均溶通时间为(3.6±1.3)d,总治愈率为92%,无一例患者发生严重并发症.结论 经腘静脉穿刺治疗下肢深静脉血栓疗效显著,做好术前、术后的心理护理,密切观察病情,精心护理和做好适当的康复指导十分重要.

Nursing of Vein Thrombus of Lower Extremities Treated by Punctured through Popliteal Vein

Objective To study the clinical nursing methods in the treatment of deep venous thrombosis （DVT） of lower extremities by punctured through popliteal vein. Methods From June 2007 and April 2011,the clinical data were analyzed retrospectively on 36 DVT patients with ultrasound-guided puncture, venography popliteal vein development after puncture in lower extremities and contralateral femoral vein guidewire ipsilateral popliteal vein puncture. All the patients underwent thrombolysis and （or） suction thrombosis after indwelling catheter. Results The mean time of thromholysis was （3.6 ± 1.3） days and the recovery rate was 92%. No major complication happened. Conclusion Popliteal vein puncture treat- ment has a sound clinical effect for deep vein thrombosis in lower extremities. Preoperative and postopera- tive psychological nursing, close observation of the clinical condition, careful nursing and suitable rehabili- tation guidance also play a critical role in the treatment.