简介:摘要原发性肝癌患者1例,在经导管肝动脉化疗栓塞(TACE)过程中,栓塞剂经镰状动脉进入正常组织后形成异位栓塞,导致镰状动脉供血区域皮肤组织的损伤。未给予特殊治疗,好转出院。术者应对镰状动脉有充分的认识,减少镰状动脉异位栓塞的发生,提高TACE的安全性。
简介:摘要目的探索儿童肺栓塞的临床特点、治疗方法。方法回顾性分析2001年3月至2018年10月重庆医科大学附属儿童医院确诊的8例儿童肺栓塞的临床资料。结果8例肺栓塞患儿中,男3例,女5例;年龄0.6~11.7岁,中位年龄为7.96岁。8例患儿均有基础疾病,其中先天性心脏病并感染性心内膜炎3例(37.5%);4例以呼吸道感染症状就诊;7例有呼吸困难,5例有咳嗽,3例有胸痛,2例有咯血,1例有胸痛、呼吸困难、咯血的肺栓塞典型三联征。7例行动脉血气分析,均提示低氧血症;6例行D-二聚体检测,D-二聚体均>500 μg/L;5例行心电图检查,其中4例(80.0%)提示窦性心动过速,2例(40.0%)心电图有ST-T改变;8例均行超声心动图检查,其中3例(37.5%)提示肺动脉赘生物;7例行CT肺血管造影,其中5例(71.4%)提示肺动脉充盈缺损,栓塞位于肺下叶者6例(75.0%)。3例行抗凝治疗,其中1例联合手术取栓治疗,1例死亡;2例仅手术取栓治疗,其中1例死亡;3例未行取栓、抗凝治疗,2例死亡。结论儿童肺栓塞病死率高,临床表现不典型,难以与呼吸道感染区分。对具有肺栓塞高危因素的患儿,一旦出现肺栓塞相关临床症状,应及早完善D-二聚体、超声心动图、螺旋CT肺血管造影检查,以早期诊断、早期治疗。
简介: 【摘 要】 目的:探讨联合应用预见性护理与优质护理对肺栓塞或高危肺栓塞患者的干预效果。方法:随机选取我院于 2016年 7月至 2019年 7月间接收的 82例肺栓塞及高危肺栓塞患者,并将其均分为常规组( n=41)与联合组( n=41)。其中对常规组患者采取常规护理干预,对联合组患者则联合应用预见性护理与优质护理干预,将两组护理效果做评价比较。结果:联合组患者不良反应发生率低于常规组,且前者各项生命体征指标更佳,差异有统计学意义( P<0.05) ;结论:联合应用预见性护理与优质护理对肺栓塞或高危肺栓塞具有重要的临床意义,可显著提升护理服务质量,值得推广应用。 【关键词】 预见性护理:优质护理:肺栓塞:高危因素 [Abstract] Objective: To explore the intervention effect of combined application of predictive nursing and high-quality nursing on patients with pulmonary embolism or high-risk pulmonary embolism. Methods: 82 patients with pulmonary embolism and high-risk pulmonary embolism in our hospital from July 2016 to July 2019 were randomly selected and divided into conventional group (n = 41) and combination group (n = 41). Among them, routine nursing intervention was adopted for patients in the conventional group, while predictive nursing and high-quality nursing intervention were combined in the combined group. The nursing effect of the two groups was evaluated and compared. Results: the incidence of adverse reactions in the combined group was lower than that in the conventional group, and the vital signs of the former were better than those in the conventional group (P < 0.05). Conclusion: the combined application of predictive nursing and high-quality nursing has important clinical significance for pulmonary embolism or high-risk pulmonary embolism, which can significantly improve the quality of nursing service, and is worthy of promotion and application.