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1. If the thrombus at that time is high (iliofemoral vein thrombosis), regular anticoagulation (taking warfarin) for more than 6 months should be carried out, and blood coagulation should be rechecked. If it is status (calf thrombosis), it is not necessary to be anticoagulated for so long.
2. Review the color ultrasound, if it has been completely repassed, you need to wear elastic stockings**.
3. Avoid standing and walking for long periods of time, and avoid sitting in one position for a long time (such as playing on the computer).
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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 obstructed; Darkening of color and elevated temperature indicate an infection, and a doctor should be notified in time for active treatment. (2) Elevate the affected limb:
Bed rest, with the affected limb elevated slightly above the level of the heart, promotes blood return, reduces pressure in the superficial veins, and reduces 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 the limb
During the nursing process, the patient is instructed to pay attention to safety and strictly prevent further collision injuries. Use a soft-bristled toothbrush for brushing your teeth, and you can use an electric razor to shave your beard. (4) Strengthen the protection of venous blood vessels
Patients in the acute phase require large intravenous vasodilators, anticoagulants, and thrombolytic drugs, and febrile patients require antibiotic infusions. In order to protect the veins, warm compresses are applied to the puncture site twice a day to prevent the occurrence of superficial phlebitis. (5) The most serious complication of venous thrombosis of the lower extremities is pulmonary embolism.
If the patient is found to have cough, chest tightness, chest pain, cyanosis of the lips, and blood in sputum during clinical nursing, it should be paid great attention to. In addition to closely observing the changes in the patient's condition,
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The current modalities of lower extremity deep vein thrombosis include anticoagulation, thrombolysis, surgery and traditional Chinese medicine. In addition, after deep vein thrombosis of the lower extremities, measures such as bed rest, elevation of the affected limb, and local moist and hot compresses should be taken. Bed rest is usually more than 14 days, and light activities can be performed when systemic symptoms and local tenderness have resolved.
When you get out of bed, you need to wear sequential gradient decompression compression stockings.
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Under the conditions of slow venous blood flow, hypercoagulable state of blood and intimal damage of blood vessels, acute non-purulent inflammation of the veins occurs, and secondary thrombotic diseases. The vast majority of venous thrombosis occurs in the deep veins of the pelvis and lower extremities. It is more common in postpartum patients, fractures and trauma, and post-operative patients.
Limb pain, swelling, superficial venous distension, and palpable cords along the vein should be considered. Ultrasound Doppler and radionuclide venography may be helpful. Thrombosis tends to fall off in the early stage, which can cause large pulmonary infarction and is often one of the causes of sudden death.
Therefore, streptokinase or urokinase thrombolysis** should be used in the early stages, followed by anticoagulation with heparin or coumarin** to prevent thrombosis from forming and spreading.
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Thrombosis includes venous thrombosis and arterial thrombosis, which can occur in the blood vessels of any part of the body, and the incidence of venous thrombosis is much higher than that of arterial thrombosis, and the ratio of the two is 4 1. The clinical manifestations of venous thrombosis of the lower limbs are sudden swelling of one limb, local pain, aggravated when walking, and only heavy feeling when standing in mild cases. Venous thrombosis symptoms will gradually change from mild to severe, and if the early symptoms are not timely and effective**, they will slowly develop to the middle and late stages.
Therefore, it is necessary to achieve early detection, early diagnosis, and early diagnosis.
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An important factor in the formation of blood clots is the problem of blood viscosity. Slow blood flow does not necessarily lead to the formation of blood clots, but if it is accompanied by thick blood, the chance of blood clots is greatly increased. Generally speaking, women who are overweight, hyperlipidemia, high uric acid, diabetic and women who are taking contraceptive pills will have a higher probability of suffering from "thrombosis", and special attention should be paid to the prevention of thrombosis.
An important factor in the formation of blood clots is the problem of blood viscosity. Slow blood flow does not necessarily lead to the formation of blood clots, but if it is accompanied by thick blood, the chance of blood clots is greatly increased. Generally speaking, women who are overweight, hyperlipidemia, high uric acid, diabetic and women who are taking contraceptive pills will have a higher probability of suffering from "thrombosis", and special attention should be paid to the prevention of thrombosis.
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My husband got this disease when he was 34 years old. It's because they don't like to move, lazy people love this disease. I love to play games, and that's it. So I concluded that it was the game that caused this disease of sedentary life.
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If a blood clot in a deep vein is found, the situation must be positive**, which is the main thing. The precaution is generally to prevent the blood clot from falling off. Deep veins are generally deep veins that grow in both lower limbs, where the function of the venous valves decreases, blood flow slows, and blood clots form.
Once a blood clot has formed, the main thing is to prevent it from falling off. To prevent shedding one is to reduce activity as much as possible, and the other is to take anticoagulant drugs, you can take warfarin orally for a long time, and control the INR value of warfarin at 2-3, in this case, anticoagulation is effective, over time, the thrombus will be organized, adherent, calcified, in this case it will be safer, the thrombus is not easy to fall off, and it is relatively stable. Therefore, if there is a deep vein thrombosis, it is important to pay attention to prevent it from falling out.
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What causes swelling and pain at the base of the thigh after leg thrombosis stent surgery?
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Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.
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Pathological venous thrombosis is divided into 3 types: white thrombosis, red thrombosis, and mixed thrombosis. White blood clots are mainly composed of fibrin, platelets and white blood cells, and contain only a small number of red blood cells.
Red blood clots are mainly composed of a large number of red blood cells, fibrin, and a small amount of platelets and white blood cells. White and red blood clots often mix together to form mixed blood clots. When venous thrombosis is first formed, it is a white thrombosis, which constitutes a thrombus head, and its secondary derivation of the body and tail is mainly red thrombosis.
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1. There is the possibility of pulmonary embolism caused by thrombosis detachment, which is life-threatening, and there is a possibility of pulmonary embolism even during the ** period.
2. Systemic anticoagulation and thrombolysis are the basic methods of deep vein thrombosis, but there is a certain risk of bleeding, such as blood in the stool, hematuria, oral bleeding, nosebleeds and even cerebral hemorrhage. If the patient has a history of bleeding, high blood pressure, stroke, etc., it is important to tell the health care provider.
3. Direct thrombolysis with intravenous catheter is an optional method for deep vein thrombosis, which can effectively improve the thrombolysis rate and reduce the incidence of thrombolytic sequelae.
Fourth, vena cava filters can reduce the incidence of pulmonary embolism and effectively prevent fatal pulmonary embolism.
5. Vena cava filter is an artificial material like an artificial joint or an artificial heart valve, which can be placed in the body for a long time. Complications that may occur include filter displacement, breakage, detachment, and damage to blood vessels. If a large blood clot is captured, it can lead to vena cava occlusion.
6. Absolute bed rest, immobilization of the affected limb, and elevation; Do not press, rub, warm compress, etc.
7. Eat a light diet, choose foods that are easy to digest, rich in vitamins, fiber and low fat, avoid greasy, and quit smoking.
8. If the patient has chest tightness, chest pain, cough, difficulty breathing, or bruised lips, inform the doctor immediately.
9. If the patient has bleeding gums, nosebleeds, hematuria, bloody stool or black stool, bleeding spots, headache and vomiting, abnormal limb movements, etc., inform the doctor immediately.
10. During the process, symptoms may recur, and even blood clots may be further aggravated.
Ten. 1. Other unforeseen complications may occur.
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Deep vein thrombosis is the abnormal clotting of blood in deep veins, which tends to occur in the lower extremities. It is a relatively common disease in Europe and the United States, and it is also increasing year by year in China. The disease cannot be diagnosed and treated in time in the acute stage, and some blood clots may fall off, causing embolism of the patient's lungs, brain and other important organs, resulting in death.
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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.
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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.
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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.
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Care of deep vein thrombosis of the lower extremities.
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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.
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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.
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My friend said that the Northern Vascular Disease Hospital is still very good, and it is recommended to ask the doctor there.
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First of all, don't sit for a long time to keep the blood circulation smooth, you can take conservative drugs** or minimally invasive surgery, if it is a deep vein thrombosis, then it is best to go to a vascular specialist hospital**, because carelessness may lead to serious pulmonary embolism.
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Patients need to pay attention to rest, avoid exertion, avoid trauma, avoid cold and dampness, quit smoking and alcohol, and eat a low-fat and low-salt diet, I hope it will help you.
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. >>>More
Hello, in the acute stage of thrombosis, lie in bed and elevate the affected limb to rest, can not massage, can not move in a large range, otherwise it is easy to cause the thrombus to fall off and cause serious consequences. In the chronic phase of blood clots, low-intensity exercises such as walking, playing ball, etc. can be used. Strenuous exercise is not recommended. >>>More
No, it is recommended that you have a deep venography of the lower extremities. Thrombosis, anticoagulation** is required, plus blood circulation and blood stasis. However, if it is deep vein thrombosis, interventional catheter thrombolysis is required**. >>>More
Venous thrombosis in the elderly is mainly conservative** in principle, and surgery can be performed according to the situation if necessary**. Nonhormonal anti-inflammatory agents, sedatives, warm compresses, ultrasound, and ultraviolet light can be given to superficial vein thrombophlebitis without restriction of activity or anticoagulation**. Deep vein thrombosis, particularly acute iliac, femoral vein, and calf deep vein thrombosis, is predisposed to be complicated by pulmonary embolism and is most dangerous within two days of onset, so anticoagulation and thrombolysis should be performed immediately after diagnosis of the disease. >>>More
My husband got this disease when he was 34 years old. It's because they don't like to move, lazy people love this disease. I love to play games, and that's it. So I concluded that it was the game that caused this disease of sedentary life.