ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (1): 58-61.doi: 10.3761/j.issn.2096-7446.2024.01.011

• 重症护理研究 • 上一篇    下一篇

急性心肌梗死患者左心室辅助装置植入术后并发下腔静脉血栓的护理

张帅 陈娟红 姚惠萍   

  • 出版日期:2024-01-10 发布日期:2024-01-25

Nursing care of inferior vena cava thrombosis complicated after left ventricular assist device implantation in a patient with acute myocardial infarction

ZHANG Shuai，CHEN Juanhong，YAO Huipin   

  • Online:2024-01-10 Published:2024-01-25

摘要： 总结1例急性心肌梗死患者左心室辅助装置植入术后并发下腔静脉血栓的护理体会。 针对患者术后发生下腔静脉血栓、意识改变和心律失常并发症等问题，做好抗凝管理及预防出血、通过识别心律失常及早应对、严格做好感染控制、针对患者疾病进展给予早期康复运动等措施。 经治疗和护理，术后第63天由ICU转入普通病房继续治疗。

关键词: 心脏辅助装置, 静脉血栓形成, 危重病护理

Abstract: To summarize the nursing experience of a patient with inferior vena cava thrombosis complicated after left ventricular assist device implantation. For patients with postoperative inferior vena cava thrombosis，changes in consciousness，and complications of arrhythmia，anticoagulation management and bleeding prevention should be done well，and early countermeasures should be taken by identifying arrhythmia. We did a good job in infection control， and provided early rehabilitation exercises and other measures for the disease progression. After treatment and nursing，he was transferred from the ICU to the general ward 63 days later.

Key words: Heart-Assist Devices, Venous Thrombosis, Critical Care Nursing