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急性肺血栓栓塞症的治疗与标准化护理
引用本文:姚翠玲,任立新,刘鹏珍,徐喜媛,孙德俊,杨敬平. 急性肺血栓栓塞症的治疗与标准化护理[J]. 中国呼吸与危重监护杂志, 2003, 2(2): 107-110
作者姓名:姚翠玲  任立新  刘鹏珍  徐喜媛  孙德俊  杨敬平
作者单位:内蒙古医学院第三附属医院呼吸科,内蒙古包头,014010
摘    要:目的 观察应用标准化护理和尿激酶2h静脉溶栓方法治疗急性肺血栓栓塞症病人的疗效。方法 经核素肺灌注显像、D-二聚体、彩色超声波及胸部CT等无创诊断技术确诊的25例急性肺血栓栓塞症病例,行尿激酶2h法溶栓治疗,应用临床监测及核素肺灌注显像进行疗效分析。所有患均行标准化护理。结果 应用标准化护理和尿激酶2h法溶栓后,治愈8例,显效4例,好转5例,有效4例,无效4例。溶栓过程中患未见严重出血,血压及心率平稳,症状明显改善。结论 急性肺血栓栓塞症应用标准化护理和尿激酶2h静脉溶栓治疗有良好的临床效果及安全性。

关 键 词:急性肺血栓栓塞症 疾病治疗 标准化护理 尿激酶 静脉溶栓疗法 疗效观察 PTE 脂肪栓塞综合征 病例分析
修稿时间:2003-02-17

Thromblytic therapy and standardized nursing care in acute pulmonary thromboembolism
YAO Chuilin,REN Lixing,LIU Pengzhen,et al. Thromblytic therapy and standardized nursing care in acute pulmonary thromboembolism[J]. Chinese Journal of Respiratory and Critical Care Medicine, 2003, 2(2): 107-110
Authors:YAO Chuilin  REN Lixing  LIU Pengzhen  et al
Affiliation:YAO Chuilin,REN Lixing,LIU Pengzhen,et al Department of Respiratory Disease,Third Affiliated Hospital of Inner Mongolia Medical College Baotou,Inner Mongolia 014010,China
Abstract:Objective To evaluate the efficacy of thromblytic therapy and analyze the effects of standardized nurse care in patients with acute pulmonary thromboembolism Methods The diagnosis of pulmonary thromboembolism was based on the results of perfusion lung scanning,chest CT,or ultrasound cardiogram Twenty five patients were received thrombolytic therapy and standardized nursing care Results Treated by thrombolytic therapy and standardized nursing care in 21 patients (21/25) were cured or improved,without serious adverse compliance including extensive bleeding The blood presse and heart rate remained steady during the procedure Conclusion It is effective and safe to administer standardized nursing care and UK intravenously in 2 h to treat pulmonary thromboembolism
Keywords:Pulmonary thromboembolism  Thrombolytic therapy  Standardized nursing care
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