Nursing points of one-stop mechanical thrombus removal in the treatment of acute lower extremity deepvenous thrombosis
一站式机械血栓清除治疗急性下肢深静脉血栓形成的护理要点

摘要

目的 将一站式机械血栓清除治疗方法应用在急性下肢深静脉血栓形成中，对其具体护理要点 进行分析。方法 选取 2021 年 2 月至 2022 年 2 月我院收治的 60 例确诊急性下肢深静脉血栓的患者作为研 究范例，均进行一站式机械血栓清除治疗。结果 60 例患者手术均顺利完成，2 例患者术后出现血红蛋白尿， 3 例患者在术后发现穿刺部位渗血（渗血量较少），发现后通过局部压迫止血方法、或者加压包扎治疗后， 渗血情况则停止，未出现严重出血并发症、或者肺栓塞并发症、肾功能受损并发症。60 例患者均顺利出院， 回归社会与家庭。结论 一站式机械血栓清除治疗急性下肢深静脉血栓形成效果显著，术后高质量的护理有 利于促进患者的康复，对减少并发症具有积极意义。

Abstract

Objective To explore the nursing points of one-stop mechanical thrombus removal in the treatment of acute deep venous thrombosis of lower limbs.
Methods A total of 60 patients diagnosed with acute lower extremity deep vein thrombosis from February 2021 to February 2022 in our hospital were selected as the study subjects, and all received one-stop mechanical thrombus removal treatment.
Results All 60 patients were successfully operated, 2 patients had postoperative hemoglobinuria, and 3 patients had a small amount of blood oozing at the site of postoperative puncture, which were found in time and treated positively and effectively. No serious bleeding, pulmonary embolism or renal impairment and other complications occurred, and all patients were discharged successfully.
Conclusion   One-stop mechanical thrombus removal in the treatment of acute lower extremity deep vein thrombosis has a significant effect, postoperative high-quality nursing is conducive to promoting the rehabilitation of patients, has a positive significance to reduce complications.