CAJ | 학술논문

目的：：总结持续动脉置管溶栓(catheter-directed thrombolysis,CDT)治疗下肢缺血性疾病的护理经验。方法：回顾分析2010年3月—2014年10月复旦大学附属中山医院血管外科收治的99例下肢动脉缺血性疾病患者在接受持续动脉 CDT 治疗期间的护理情况,主要护理措施包括术前患肢的护理、术后溶栓导管的护理以及并发症的预防和护理等。结果：99例患者经过 CDT 治疗后,1例发生感染性休克死亡；4例需要截肢；其余94例患者缺血情况明显改善,恢复良好。结论：针对下肢缺血性疾病患者,在围手术期给予合理、有效的护理措施是决定 CDT 疗效的重要因素之一。
목적：：총결지속동맥치관용전(catheter-directed thrombolysis,CDT)치료하지결혈성질병적호리경험。방법：회고분석2010년3월—2014년10월복단대학부속중산의원혈관외과수치적99례하지동맥결혈성질병환자재접수지속동맥 CDT 치료기간적호리정황,주요호리조시포괄술전환지적호리、술후용전도관적호리이급병발증적예방화호리등。결과：99례환자경과 CDT 치료후,1례발생감염성휴극사망；4례수요절지；기여94례환자결혈정황명현개선,회복량호。결론：침대하지결혈성질병환자,재위수술기급여합리、유효적호리조시시결정 CDT 료효적중요인소지일。
Objective:To summarize the nursing experience in the treatment of ischemic diseases of lower extremity by continu-ous arterial catheter-directed thrombolysis (CDT).Methods:From March 2010 to October 2014,99 patients with lower ex-tremity ischemic diseases were treated by continuous arterial CDT in Vascular Department,Zhongshan Hospital,Fudan Uni-versity.The routine nursing records were reviewed.The main nursing measures included the preoperative nursing of ischemic limb,postoperative nursing of thrombolytic catheter as well as the prevention and nursing of the complications.Results:A-mong the 99 patients accepted CDT treatment,there were 1 case of death resulted from septic shock,4 cases of amputation, while the ischemia situation of the remaining 94 patients were improved with good recovery.Conclusions:For the patients with ischemic diseases of lower extremity,taking reasonable and effective nursing measures in peri-operation period is one of the fac-tors to determine the efficacy of CDT.