肺血栓栓塞症的影像学特点及针对性护理体会  

Imaging Featuresof Pulmonary Thromboembolism and Targeted Nursing Experience

作　　者：杨少为[1] 宋庆伦 

机构地区：[1]四川省成都市西区医院,成都610000

出　　处：《血栓与止血学》2017年第5期847-849,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的观察肺血栓栓塞症(PTE)的影像学特点及其对护理的指导价值。方法选择我院2011年8月至2015年8月42例PTE患者作为观察组,选取同一时期我院非PTE患者50例作为对照组,分析PTE影像学资料特征,再将观察组患者随机分为两组,每组21例,常规护理组行常规护理,优质护理组根据CT影像学资料进行针对性护理干预,探讨PTE影像学特点在其护理预防中的应用价值。结果 PTE患者肺不张、肺血管纹理稀疏、肺动脉充盈缺损、胸腔积液及胸膜增厚征象发生率分别为88.1%、100%、97.62%、61.9%及83.33%,均显著高于对照组,差异有统计学意义(P<0.05)。优质护理组护理干预后总有效率为95.24%,常规护理组为80.95%,差异无统计学意义(P>0.05)。优质护理组护理后血栓个数为(1.95±0.46)个,显著低于常规护理组的(2.74±0.87)个,差异有统计学意义(P<0.05)。优质护理组护理第7 d时患者肺不张、肺血管纹理稀疏、肺动脉充盈缺损、胸腔积液及胸膜增厚等CT异常征象显著低于常规护理组,差异有统计学意义(P<0.05)。结论 PTE患者CT异常征象主要表现为肺不张、肺血管纹理稀疏、肺动脉充盈缺损、胸腔积液及胸膜增厚,以患者CT异常征象为指导加强护理干预,可降低血栓脱落事件发生率。Objective To observe the imaging features of pulmonary thromboembolism（PTE） and their guidance value in nursing. Methods 42 cases with PTE who were admitted to the hospital from August 2011 to August 2015 were selected as the observation group, and another non-PTE patients were selected as the control group at the same time. The imaging features of PTE were analyzed, and then the observation group were randomly divided into two groups, 21 cases in each group. The routine nursing group received routine nursing, and the high quality nursing group received targeted nursing intervention according to the CT imaging data. The imaging features of PTE and their value in nursing were explored. Results The incidence rates of pulmonary atelectasis, sparse pulmonary vascular texture, pulmonary artery filling defect, pleural effusion and pleural thickening in patients with PTE were 88.1%, 100%, 97.62%, 61.9% and 83.33%, significantly higher than those in the control group （ P 〈 0.05 ）. The total effective rate of intervention in the high quality nursing group was 95.24%, and in the routine nursing group was 80.95% （P 〉 0. 05）. The number of thrombosis in the high quality nursing group （ 1.95 ± 0.46 ） was significantly smaller than that in the routine nursing group（ 2.74 ± 0. 87） （P 〈 0. 05 ）. On the 7th day, the abnormal CT signs such as pulmonary atelectasis, sparse pulmonary thickening in the high quality vascular texture, pulmonary artery filling nursing group were significantly fewer than defect, pleural effusion and pleural those in the routine nursing group （P 〈0. 05 ）. Conclusion The main abnormal CT signs of patients with PTE include pulmonary atelectasis, sparse pulmonary vascular texture, pulmonary artery filling defect, pleura1 effusion and pleural thickening. Taking the abnormal CT findings as guidance for strengthening nursing intervention can reduce the incidence of thrombosis.

关 键 词：肺血栓栓塞症 影像学特点 护理 

分 类 号：R473[医药卫生—护理学]