Care of deep vein thrombosis, lower extremity deep vein thrombosis nursing diagnosis

1. Closely observe the changes in the circumference and color of the affected limb: if the circumference of the affected limb continues to increase, it means that the venous return is blocked; The darkening of the color and the increase in temperature indicate the occurrence of infection, and the doctor should be notified in time for active treatment.

2. Elevate the affected limb:Bed rest, in which the affected limb is elevated slightly above the level of the heart, promotes blood return and reduces pressure in the superficial veins, reducing pain. In the acute phase, the patient is instructed to rest in bed and elevate the affected limb by 30° to facilitate venous return and reduce edema.

3. Avoid collision and injury of limbs: During the nursing process, patients should pay attention to safety and strictly prevent collision injuries.

4. Strengthen the protection of veins and blood vessels: wear medical elastic stockings to promote blood return and prevent thrombotic sequelae.

Deep vein thrombosis refers to the abnormal clotting of blood in the deep veins, which is a disorder of venous return of the lower limbs. Thrombosis usually occurs during immobilization (especially major orthopedic surgery). There are three major factors: slow blood flow, venous wall damage and hypercoagulability.

After thrombosis, except for a few that can be ablated spontaneously or confined to the site of occurrence, most of them will spread to the deep venous trunk of the whole limb, and if they cannot be diagnosed and treated in time, most of them will evolve into thrombosis sequelae, which will affect the quality of life of patients for a long time; In some cases, pulmonary embolism may occur, with extremely serious consequences.

Thromboangiitis is mainly manifested as redness, numbness, cold pain in the patient's fingers or toes, ulceration and necrosis in the later stage, and in severe cases, it will lead to residual ringworm of the hands and feet. Mainly due to the lack of vitality of the patient, the qi and blood can not reach the end of the blood vessels, so that the fingers or toes can not get nutrients and gradually necrosis. Western medicine believes that the power of blood circulation depends on the pressure generated by the heart's beating, but this is not entirely the case, when the human heart dies and suddenly stops beating, the human body still has a certain portal blood pressure, which is the power of the undecayed vitality.

Care of deep vein thrombosis of the lower extremities.

Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.

Prevention is the most important thing Keweihan's foot pump is good and we use it in our department.

The manifestations of calf vein thrombosis are as follows: 1. Tenderness, which is a typical symptom, and the venous thrombosis site is often tender, therefore, the lower limbs should be examined for calf muscles, popliteal fossa, adductor canal and femoral vein below the groin. 2. Swelling of the affected limb.

Vascular ultrasonography was; Bilateral superficial femoral artery thrombosis, bilateral national artery thrombosis, bilateral posterior tibial artery thrombosis, right external iliac vein thrombosis, right femoral vein thrombosis.

If the time is short, the thrombus can be removed, but the operation is relatively large, but it is cheaper, the time is not very short and very long, and the stent is placed, but the doctor said that there may be a blood clot in the future, and if the time is too long, it is bypass, which is what my father said after the blood clot.

There are many measures to prevent deep vein thrombosis, especially for the elderly who do not pay attention to their lifestyle habits, including postoperative failure to pay attention to it is easy to induce it, and in severe cases, it will cause blood clots to fall off and cause sudden death, which is also a common serious reaction after surgery. Specifically, it includes the following points:

1. It is necessary to pay attention to appropriate activities, especially if you can't lie down for too long after surgery, you can massage the legs to promote rich blood supply.

2. The filter can be placed preventively to avoid inducing discomfort.

3. You need to take anticoagulant drugs, which can effectively prevent diseases.

4. It is necessary to recheck regularly, especially B-ultrasound, to see if there is thrombosis, etc., and then re-examine every six months.

Patients with deep vein thrombosis should not massage and pat the affected limb, and do not exercise vigorously to avoid the blood clot falling off. Absolute bed rest in the acute phase, elevation of the affected limb and early anticoagulation or thrombolysis**. Don't smoke, eat a light diet and don't eat spicy and greasy food.

Drink plenty of water. Watch the patient's vital signs and inform the doctor of any discomfort.

Deep vein thrombosis of the lower extremities. With the development of endovascular surgical technology, there is a minimally invasive method called stenting reversal of the iliac vein balloon dilation, which is usually used to make a small channel of the thrombus with a very thin guidewire, and then use a stent to open it. As shown in the figure, slowly release the stent after opening the blood clot, and the stent will squeeze the blood clot after it expands, thus eliminating the blockage.

Care of deep vein thrombosis of the lower extremities.

Thrombosis is a multifactorial process in which a set of genetic and environmental factors interact and influence each other. The most common clinical characteristics of patients with thrombosis are familial hereditary, reversible, symptomatic severity, abnormal thrombosis site, and younger onset.

The three major factors of deep vein thrombosis: slow venous blood flow, venous wall damage and blood hypercoagulability, are still recognized by scholars from all over the world. However, any single factor of the above three factors is often not enough to cause the disease, and it is often a combination of two or three factors that causes deep vein thrombosis.

Slow blood flow is the primary factor.

For example, blood vessels are like sewers, if the walls of the pipes are smooth, the water flowing down is fast, and there is very little garbage in the water, then the pipes are not easy to clog. On the contrary, the pipe wall is full of potholes, the water flow speed is very slow, and there are garbage such as rice grains and vegetable leaves in the water, and the sewer is easy to block. In the same way, if the lining of the blood vessels is very rough, the blood flow is very slow, and there is a lot of "garbage" in the blood, the blood vessels are easy to be blocked, and blood clots in the blood vessels are formed.

How to prevent venous thrombosis in the lower extremities.

Eat more high-quality protein, such as milk, chickens and ducks (preferably wild chai chicken), fish, eggs (egg yolks should be eaten less), soy products, and eat less pig, beef, mutton, and lean meat is better.

Eat more vitamin-rich foods, such as fresh fruits, tomatoes, hawthorns, etc., which are rich in vitamin C; Eat more fiber-rich foods, such as celery, whole grains, etc., to increase gastrointestinal peristalsis and avoid dry stools.

Eat more soy products, dairy and eggs rich in vitamin B6; Leafy green vegetables, legumes, etc., which are rich in vitamin E.

It is suitable to drink hot milk or listen lightly** to relax the brain and promote sleep.

My friend said that the Northern Vascular Disease Hospital is still very good, and it is recommended to ask the doctor there.