中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
26期
206-208
,共3页
桡动脉%冠脉造影%骨筋膜室综合征%护理
橈動脈%冠脈造影%骨觔膜室綜閤徵%護理
뇨동맥%관맥조영%골근막실종합정%호리
Radial artery%Coronary angiography%Compartment syndrome%Care
对2015年7月我科一例经桡动脉冠脉造影术后并发骨筋膜室综合征患者积极有效处理及护理,根据房颤指南,有明确的抗凝适应症,发现对于房颤患者,结合农村患者文化层次偏低,健康知识相对匮乏,在临床实践中应认真评估,基层医生提高对华法令监测意识,对冠脉造影术后患者出现穿刺肢体疼痛,早期明确出血点,有效压迫止血,观察疼痛性质;密切观察肢端血液循环、感觉和运动情况,停用抗凝药物,早期识别,及时行骨筋膜闻室切开减压术。
對2015年7月我科一例經橈動脈冠脈造影術後併髮骨觔膜室綜閤徵患者積極有效處理及護理,根據房顫指南,有明確的抗凝適應癥,髮現對于房顫患者,結閤農村患者文化層次偏低,健康知識相對匱乏,在臨床實踐中應認真評估,基層醫生提高對華法令鑑測意識,對冠脈造影術後患者齣現穿刺肢體疼痛,早期明確齣血點,有效壓迫止血,觀察疼痛性質;密切觀察肢耑血液循環、感覺和運動情況,停用抗凝藥物,早期識彆,及時行骨觔膜聞室切開減壓術。
대2015년7월아과일례경뇨동맥관맥조영술후병발골근막실종합정환자적겁유효처리급호리,근거방전지남,유명학적항응괄응증,발현대우방전환자,결합농촌환자문화층차편저,건강지식상대궤핍,재림상실천중응인진평고,기층의생제고대화법령감측의식,대관맥조영술후환자출현천자지체동통,조기명학출혈점,유효압박지혈,관찰동통성질;밀절관찰지단혈액순배、감각화운동정황,정용항응약물,조기식별,급시행골근막문실절개감압술。
One case of July 2015 in our department after transradial coronary angiography in patients with compartment syndrome complicated by positive and effective treatment and care, according to the atrial ifbrillation guidelines, there were clear indications for anticoagulation, found that for patients with atrial fibrillation and combined with rural patients cultural level was low, the relative lack of health knowledge, in clinical practice should be carefully evaluated, primary care doctors to improve awareness of warfarin monitoring of patients after coronary angiography puncture limb pain, bleeding early clear, effective hemostasis, observation of pain nature; close observation of the extremities blood circulation, sensory and motor case, disable anticoagulant drugs, early recognition and timely line osteofascial smell incision decompression chamber.