关键词: 血小板减少症, 椎动脉, 支架植入术, 危重病护理

Abstract: To summarize the treatment and nursing experience of a patient with heparin-induced thrombocytopenia（HIT）and bleeding after vertebral artery stent implantation. In view of the problems of patients with HIT accompanied by bleeding,and the coexistence of bleeding and coagulation risks,we adopted dynamic monitoring of HIT inducing factors,developed an early monitoring plan for bleeding,strictly prevented adverse events of thrombosis,strictly implemented the platelet transfusion process and were alert to adverse reactions of blood transfusion,developed a follow-up plan by multidisciplinary collaboration. After 7 days of treatment and nursing,the patient recovered and was discharged. One month of follow-up after discharge showed that the patient was in good condition.

Key words: Thrombocytopenia, Vertebral Artery, Stent Implantation, Critical Care Nursing