Clinical observation and nursing for the patients with acute pulmonary embolism treated with thrombolytic and anticoagulant

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Author:
WANG Zhen(The First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)
DONG Yan-li(The First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)
ZHU Li(The First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)
Journal Title:
International Journal of Nursing
Issue:
Volume 31, Issue 09, 2012
DOI:
10.3760/cma.j.issn.1673-4351.2012.09.110
Key Word:
Acute pulmonary embolism; Thrombolytic; Anticoagulant; Nursing

Abstract: Objective To observe the clinical efficacy of thrombolytic and anticoagulant treatment in patients with acute pulmonary embolism ( APE),and to explore the care points before treatment,in treatment and after treatment.Methods A total of 32 patients with APE were given intravenous thrombolysis with urokinase and low molecular weight heparin and warfarin anticoagulation therapy.At the same time,monitoring and nursing were strengthened. The clinical efficacy and blood gas analysis before and after treatment were observed.Results Cure 19 patients (59.38% ),improving 12 cases (37.50%),death 1 cases (3.12%),and the total effective rate was 96.88%.After thrombolysis and anticoagulant therapy,PaO2 by (68.1 ± 6.7) mmHg rose to (81.6 ± 6.3 ) mmHg,and PaCO2 by (57.1 ± 4.9 ) mmHg fell to ( 48.5 ± 5.0 ) mmHg,there was significant difference between before and after treatment ( P < 0.01 )Conclusions Early diagnosis of APE,timely thrombolysis anticoagulant therapy,together with meticulous care can reduce mortality.

  • 1.陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2008:81-85.
  • 2.彭员秀.18例急性肺栓塞溶栓治疗的系统化整体护理[J].海南医学,2011,22 (18):144-145.
  • 3.中华医学会呼吸病分会.肺血栓栓塞症的诊断与治疗指南(草案)[J].中华结核和呼吸杂志,2001,24 (5):259-264.
  • 4.冯亚萍.急性肺栓塞溶栓的护理体会[J].中国现代药物应用,2009,3 (1):164.
  • 5.刘敏晓,毛春节,张巧琴,等急性肺栓塞患者的护理[J].解放军护理杂志,2009,26 (7):42-43.
  • 6.苏运辉,周晓舟,万丽红.溶栓抗凝治疗急性肺栓塞9例临床护理[J].齐鲁护理杂志,2010,16 (1):35-36.
  • 7.蒋学锋,王晓燕.急性肺栓塞的溶栓护理[J].中华实用中西医杂志,2010,23 (12):8-9.
  • 8.陈红香,黄丽红,胡忠莲.急性肺栓塞的护理[J].吉林医学,2012,33 (2):367.
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