简介:【摘要】目的:探讨急性肺栓塞的影像学诊断。方法:选择我院2019年1月至2020年12月收治的40例肺栓塞患者。对临床体征、血气、心电图、胸片或多层螺旋CT进行分析。结果:临床症状发生率、血气分析和心电图分别为50.0%(20/40)、55.0%(22/40)和50.0%(20/40)。经比较分析,差异具有统计学意义(x2=5.203、7.294和6.292,P
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.
简介:摘要肺栓塞合并卵圆孔未闭并发反常栓塞的情况临床比较少见,这类患者往往比单纯肺栓塞预后差,尤其是伴有心房血栓或跨壁血栓者,更容易出现并发症和栓塞复发,致残率和死亡风险更高。现将近期2例肺栓塞合并卵圆孔未闭并伴有双心房血栓形成的病例资料报道如下:其中1例在治疗过程中突发心跳呼吸骤停,经积极抢救无效死亡;另1例在治疗过程中突发脑梗,最终遗留一侧肢体活动障碍,严重影响了后期的生活质量,预后均较差。临床对于此类患者需高度重视,积极联合多学科探讨并选择个性化的治疗方案。对于不明原因的体循环栓塞,需积极寻找病因,尤其要重视寻找是否存在动静脉异常通路,明确是否发生了反常栓塞,尽早诊治、及时干预,最大程度地改善患者的预后。