课件：骨科深静脉血栓的预防.ppt

大腿根部的双层三角连接片 避免大腿止血带作用，确保股静脉的血液流动。 确保袜子不会滑落，保证各个部位压力模式。 T.E.D. 压力袜的临床应用 预防型/护理型 治疗型 压力梯度： 18 – 14 – 8 – 10 - 8mmHg 踝 - 小腿 - 膝 -大腿中部 -大腿上部 适用范围 术后制动或长期卧床的病人预防深静脉血栓，或治疗轻、中度水肿、静脉曲张，腿部保健。 压力梯度： 30 - 20mmHg 踝 - 小腿 适用范围 治疗重度静脉曲张，及长时间乘坐交通工具不能活动；腿部健美。 其他预防措施 抬高患肢，高于心脏水平20-30cm 踝泵运动 建立有效饮水计划 检测D二聚体有效指标 建立有效饮水计划 根据患者年龄建立饮水计划 根据患者饮水用具作好饮水量的标记 每班落实措施 其他预防措施 检测D二聚体有效指标 0.5mmg/l ﹥D二聚体﹤0.2mmg/l 其他预防措施 深静脉血栓栓塞护理措施 绝对卧床休息，维持下肢功能位； 保持大便通畅； 注意观察抗凝药物的效果及不良反应，定期监测凝血功能； 禁止热敷和挤压； 避免下肢穿刺。 如何进行护理体查 护理体查 视 触 动 量 演示 谢 谢！ 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 资料仅供参考，实际情况实际分析 * accp6 * * 深静脉血栓形成于下肢，22％于股静脉，栓子脱落随着静脉血游走到肺部可直接导致肺栓赛。可以认为是同一个疾病的不同阶段，DVT+PE=VTE. * * HILL ：49％在进端股静脉形成；DIENER:22％由股静脉原发；O’MESRA:75％的致命PE来自股静脉DVT. * * The 2001 Chest Guidelines state that 90% of these complications occurred in patients receiving Lovenox after surgery. Although the chest guidelines do not use regional anesthesia as a contra-indication for LMWH, they do provide very specific guidelines and suggest that great care be used when combining regional anesthesia with LMWH. * * 2. Inlay Circumferential Knit Another unique feature of the T.E.D.* Stockings is the inlay circumferential knit.The unique construction helps deliver the proper pressure pattern and does the best job of keeping the stocking in place.The two illustrations that follow show the difference between the construction of the Kendall T.E.D.* Stocking and competitors stockings. * 3. Non-constricting Safety Features Other unique features of T.E.D.* Stockings are the non-constricting safety features in thigh-length style. The popliteal vein behind the knee and femoral vein (in the thigh area) are two critical veins where there must be free flow of blood. Constricting these areas could cause a tourniquet effect. The non-constricting safety features are:- Pressure relief at the popliteal area- A stitch change for visually checking placement- Interrupted band and two-ply gusset at the -upper thighThe illustration shown to the right poi