下腔静脉滤器置入联合置管溶栓治疗下肢深静脉血栓患者的

目的:分析下腔静脉滤器联合置管溶栓治疗下肢深静脉血栓(DVT)的临床疗效及临床护理结果。方法:回顾性分析我科自2016年9月—2018年9月期间收治60例下肢深静脉血栓患者的治疗及护理,其中观察组30例行下腔静脉滤器置入联合置管溶栓手术治疗,对照组30例行抗凝药物保守治疗,比较两组患者患肢治疗前、治疗1周、治疗2周后下肢周径差等的差异。结果:观察组30例患者均手术成功,下肢症状快速缓解,无症状性肺栓塞发生。对照组28例患者肢体肿胀缓解较差,2例发生症状性肺栓塞。观察组患者术1、2周的下肢周径差优于对照组,差异有统计学意义(P<0.05)。结论:下腔静脉滤器置入联合置管溶栓术治疗对减少致死性肺栓塞、快速缓解下肢水肿及减少深静脉血栓后综合征有显著效果。临床护理是治疗安全的有效保证。

Nursing Report of Patients with Lower Extremity Venous Thrombosis Treated by Inferior Vena Cava Fliter Implantation and Thrombolysis

Objective To analyze the clinical effect and nursing of inferior vena cava filter combined with catheter directed thrombolysis in the treatment of deep vein thrombosis(DVT) of lower extremity. Methods The treatment and nursing of 60 patients with DVT in our department from September 2016 to September 2018 were analyzed retrospectively. 30 patients in the observation group were treated with inferior vena cava filter implantation combined with catheter directed thrombolysis, and 30 patients in the control group were treated with anticoagulant drugs. The difference of peripheral diameter of the lower limbs before treatment, 1 week after treatment and 2 weeks after treatment were compared between the two groups. Results All the 30 patients in the observation group had successful operation, rapid relief of lower limb symptoms and asymptomatic pulmonary embolism. In the control group, 28 patients were asymptomatic pulmonary embolism and had poor relief of limb swelling. The patients in the observation group were treated with inferior vena cava filter combined with thrombolysis have rapid relief of clinical symptoms. Conclusion Inferior vena cava filter placement combined with catheter thrombolysis has significant effect on the reduction of fatal pulmonary embolism, the rapid relief of lower extremity edema and the reduction of deep vein thrombosis syndrome. Clinical nursing is an effective guarantee of treatment safety.