一个概述血栓溶解的管理原则
Santhosh Regini Benjamin1, Avinash Anil Nair2, Raj Kumar Joel1
1Department of Cardiothoracic Surgery, The Christian Medical College (CMC Hospital), Vellore, 632004 Tamil Nadu India.
Indian journal of thoracic and cardiovascular surgery
|August 23, 2023
概括
血栓塞,或咳出血液,在胸部手术中很常见. 虽然干预程序可以处理急性病例,但手术切除仍然是严重出血的最终治疗方法,特别是在传染病率高的地区.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 干预心脏病学 干预心脏病学
背景情况:
- 血是胸部外科手术中常见的临床表现.
- 急性,危及生命的血栓溶解发生在5%的病例中.
- 印度结核病和其他肺部感染的高发病率有助于血栓塞的流行.
研究的目的:
- 审查血栓溶解的定义,病因和治疗方法.
- 讨论血栓塞患者的紧急和最终治疗策略.
- 要突出从紧急手术转向急性血栓溶解的干预手术的转变.
主要方法:
- 关于血液溶解管理的文献综述.
- 分析当前的干预和外科手术方法.
- 讨论与高发病率地区相关的病因.
主要成果:
- 从历史上看,急性血栓塞的紧急手术导致了高发病率和死亡率.
- 干预性手术现在是急性血液溶解的主要保守治疗方法.
- 手术切除通常是持续性或严重血栓塞的最终治疗方法.
结论:
- 干预手术提供了关键的时间,以稳定患者在急性血栓溶解.
- 手术切除仍然是许多血栓塞病例的最终解决方案.
- 对于胸部外科医生和干预医生来说,了解病因学和管理是至关重要的.
相关概念视频
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
Acute Respiratory Failure-V
162
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
162


