84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]余潔靜,魯娟,張中月.長期接受抗凝治療患者的骨科手術(shù)圍手術(shù)期護(hù)理[J].中醫(yī)正骨,2015,27(03):79-80.
點(diǎn)擊復(fù)制

長期接受抗凝治療患者的骨科手術(shù)圍手術(shù)期護(hù)理()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年03期
頁碼:
79-80
欄目:
骨傷科護(hù)理
出版日期:
2015-03-30

文章信息/Info

作者:
余潔靜魯娟張中月
溫州醫(yī)科大學(xué)附屬第二醫(yī)院,浙江 溫州 325027
關(guān)鍵詞:
圍手術(shù)期護(hù)理 抗凝藥
摘要:
目的:探討長期接收抗凝治療患者的骨科手術(shù)圍手術(shù)期護(hù)理方法。方法:2009年6月至2014年6月,采用包括出血護(hù)理、原發(fā)疾病護(hù)理、藥物應(yīng)用護(hù)理、手術(shù)護(hù)理等措施的系統(tǒng)護(hù)理方法,規(guī)范護(hù)理長期接受抗凝治療的骨科手術(shù)患者46例,男29例,女17例。年齡56~89歲,中位數(shù)72歲。冠狀動脈支架或搭橋術(shù)后17例、心臟瓣膜置換術(shù)后11例、腦卒中后15例、下肢靜脈栓塞3例。合并糖尿病15例,高血壓20例。下肢骨折切開復(fù)位內(nèi)固定術(shù)26例、關(guān)節(jié)置換術(shù)9例、上肢骨折切開復(fù)位內(nèi)固定術(shù)11例。觀察手術(shù)完成、原發(fā)疾病復(fù)發(fā)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均順利完成手術(shù),安全渡過圍手術(shù)期; 均未出現(xiàn)原發(fā)疾病加重或復(fù)發(fā)。2例切口引流血性液體超過1500 mL,給予夾閉引流管和應(yīng)用止血藥物治療后好轉(zhuǎn)。均無下肢深靜脈血栓形成等并發(fā)癥發(fā)生。結(jié)論:科學(xué)規(guī)范的圍手術(shù)期護(hù)理有助于手術(shù)順利完成,防止原發(fā)疾病加重或復(fù)發(fā),減少并發(fā)癥的發(fā)生,使患者安全渡過圍手術(shù)期。

參考文獻(xiàn)/References:

[1] Wysokinski WE,McBane RD,Daniels PR,et al.Periprocedural anticoagulation management of patients with nonvalvular atrial fibrillation[J].Mayo Clinic Proc,2008,83(6):639-645.
[2] James D,Alex C,Frederick A,et al.Perioperative management of antithrombotic therapy:Antithrnmbotic therapy and prevention of thrombosis,9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J].2012,141(2 suppl):326-350.
[3] Kovacs MJ,Kearon C,Rodger M,et al.Single-arm study of bridging therapy with low-molecular-weight heparin for patients at risk of arterial embolism who require temporary interruption of warfarin[J].Circulation,2004,110(12):1658-1663.
[4] Larson BJ,Zumberg MS,Kitchens CS.A feasibility study of continuing dose-reduced warfarin for invasive procedures in patients with high thromboembolic risk[J].Chest,2005,127(3):922-927.
[5] Douketis JD,Johnson JA,Turpie AG.Low-molecular-weight heparin as bridging anticoagulation during interruption of warfarin:assessment of a standardized periprocedural anticoagulation regimen[J].Arch Intern Med,2004,164(12):1319-1326.
[6] 張孝靜,傅武平.老年髖部骨折術(shù)后抗凝治療的臨床觀察及護(hù)理[J].中醫(yī)正骨,2013,25(5):76.
[7] 萬華,羅漫麗,魏潤玲.股骨近端防旋髓內(nèi)釘治療合并阿爾茨海默病的股骨轉(zhuǎn)子間骨折的圍手術(shù)期護(hù)理[J].中醫(yī)正骨,2014,26(1):77-78.
[8] Ansell J,Hirsh J,Hylek E,et al.Pharmacology and management of the vitamin K antagonists:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines(8th Edition)[J].Chest,2008,133(6 Suppl):160-198.

相似文獻(xiàn)/References:

[1]易春智,陳錦倫,李肇宏,等.利伐沙班與依諾肝素鈉對髖膝關(guān)節(jié)置換術(shù)后 下肢深靜脈血栓形成及圍手術(shù)期隱性失血的影響[J].中醫(yī)正骨,2016,28(01):17.
 YI Chunzhi,CHEN Jinlun,LI Zhaohong,et al.Influence of Rivaroxaban and enoxaparin sodium on lower extremity deep venous thrombosis after total hip&knee arthroplasty and perioperative hidden blood loss[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(03):17.
[2]何雪花.快速康復(fù)外科理念在膝關(guān)節(jié)鏡手術(shù)圍手術(shù)期護(hù)理中的應(yīng)用[J].中醫(yī)正骨,2017,29(02):79.

備注/Memo

備注/Memo:
2014-09-22收稿 2014-11-19修回
更新日期/Last Update: 2015-03-30