介入二三事：产后血栓 不可小视
<div class="wx_rich_media_content" id="jsWxContainer"><section style="font-size: 16px;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px;" powered-by="xiumi.us"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 100 100 0%; border-top: 1px solid rgb(206, 40, 39); border-left: 1px solid rgb(206, 40, 39); border-top-left-radius: 20px; overflow: hidden; height: auto; padding-right: 8px; margin-left: 20px;"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section><section style="justify-content: flex-start;display: flex;flex-flow: row;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;align-self: stretch;flex: 0 0 auto;height: auto;border-right: 1px solid rgb(206, 40, 39);padding: 10px 25px 30px;"><section style="margin-top: 10px;margin-bottom: 10px;" powered-by="xiumi.us"><section style="background-color: rgb(228, 43, 42);height: 1px;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section><section style="text-align: center;margin-top: 20px;margin-bottom: 20px;line-height: 0;" powered-by="xiumi.us"><section style="vertical-align: middle;display: inline-block;line-height: 0;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section><section style="text-align: justify;" powered-by="xiumi.us"><p> 近日，渭南市中心医院介入科为一名下肢深静脉血栓患者成功实施介入手术，患者术后次日便下床走路，恢复自主活动。</p><p><br></p><p> 患者申某，女性，25岁，剖宫产术后10余天，左下肢肿胀起初未予以重视，后逐渐加重发冷发紫，肿胀严重，又出现疼痛、无力、感觉减退等症状，被家人送往渭南市中心医院急诊科就诊。</p><p><br></p><p> 经检查，医生诊断为左下肢深静脉血栓，由介入科、骨科会诊后收住骨一科。</p><p><br></p><p> 患者已经出现下肢青紫，必须尽快施救。考虑患者处于产褥期，即使局部溶栓也会增加出血风险，若按照常规手术思路，置入可回收滤器后抗凝治疗，血栓大概率无法完全清除。为降低患者肺栓塞、出血等风险、提高愈后治疗效果，介入团队第一时间为患者制定手术方案，行下腔静脉可回收滤器置入术＋左下肢深静脉造影取栓术。</p><p><br></p><p> 术中静脉造影提示左下肢深静脉盆腔水平到膝关节处血管官腔内血栓导致远端血管闭塞，置入滤器后穿刺左侧腘静脉抽取大量血栓，原闭塞的血管血流通畅。</p><p><br></p><p><br></p></section><section style="display: flex;flex-flow: row;margin: 10px 0% -10px;justify-content: flex-start;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: 29px;flex: 0 0 auto;height: auto;align-self: flex-start;"><section style="text-align: center;margin-top: 10px;margin-right: 0%;margin-left: 0%;" powered-by="xiumi.us"><section style="display: inline-block;width: 6px;height: 6px;vertical-align: top;overflow: hidden;border-width: 0px;border-radius: 10px;border-style: none;border-color: rgb(62, 62, 62);background-color: rgb(241, 92, 25);"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;align-self: flex-start;height: auto;"><section style="margin-right: 0%;margin-left: 0%;" powered-by="xiumi.us"><section style="color: rgb(153, 153, 153);text-align: justify;"><p><span style="color: rgb(241, 92, 25);"><span style="color: rgb(205, 205, 205);">左右滑动查看更多</span></span></p></section></section></section></section><section style="display: inline-block;width: 100%;vertical-align: top;overflow-x: auto;" powered-by="xiumi.us"><section style="overflow: hidden;width: 500%;max-width: 500% !important;"><section style="display: inline-block;vertical-align: top;width: 20%;" powered-by="xiumi.us"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 94%;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section><section style="display: inline-block;vertical-align: middle;width: 20%;" powered-by="xiumi.us"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 94%;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section><section style="display: inline-block;vertical-align: top;width: 20%;" powered-by="xiumi.us"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 94%;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section><section style="display: inline-block;vertical-align: top;width: 20%;" powered-by="xiumi.us"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 94%;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section><section style="display: inline-block;vertical-align: top;width: 20%;" powered-by="xiumi.us"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 94%;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section></section></section><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p><p> 术后当天患者自述肿胀缓解明显，皮肤颜色由青紫转为正常肤色、皮温也恢复正常。现患者已安全出院，秉承“以病人为中心”的服务理念，患者出院后电话随访一直未曾中断，在得知患者下床后依然有肢体不适后，介入科医护团队决定对该患者进行居家随访。患者出院一周后，医护团队前往申某家中，仔细查看穿刺口、耐心指导功能锻炼及后期恢复注意事项。“幸好有你们及时介入手术、细心查看、耐心叮嘱，否则腿上的肿胀也不会消退的这么快！”</p><p><br></p><p> 近年来，介入科不断优化流程，提升诊疗技术水平和服务能力，切实做到用规范促进医疗、用典型示范服务，让渭南区域内的百姓在“家门口”就能享受到优质的介入诊疗。</p><p><br></p></section><section style="display: flex;width: 100%;flex-flow: column;" powered-by="xiumi.us"><section style="z-index: 2;" powered-by="xiumi.us"><section style="justify-content: flex-start;display: flex;flex-flow: row;margin-top: 15px;"><section style="display: inline-block;vertical-align: top;width: auto;align-self: stretch;flex: 0 0 auto;min-width: 5%;height: auto;background-color: rgb(228, 43, 42);padding: 5px 20px 5px 10px;margin-right: 5px;"><section style="justify-content: flex-start;display: flex;flex-flow: row;margin-top: -10px;margin-bottom: -10px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;height: auto;padding-right: 10px;"><section style="text-align: center;" powered-by="xiumi.us"><section style="display: inline-block;width: 40px;height: 40px;vertical-align: top;overflow: hidden;border-style: solid;border-width: 2px;border-color: rgb(228, 43, 42);border-radius: 50px;background-color: rgb(255, 255, 255);"><section style="margin-top: 5px;line-height: 0;" powered-by="xiumi.us"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 28px;height: auto;"><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;width: 100%;"></span></section></section></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;height: auto;"><section style="text-align: justify;font-size: 18px;color: rgb(255, 255, 255);letter-spacing: 2px;" powered-by="xiumi.us"><p><strong>温馨提示</strong></p></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 10px;background-color: rgb(228, 43, 42);align-self: stretch;flex: 0 0 auto;height: auto;"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section></section><section style="display: inline-block;vertical-align: top;width: 5px;align-self: stretch;background-color: rgb(228, 43, 42);flex: 0 0 auto;height: auto;margin-left: 3px;"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section></section></section></section></section><section style="justify-content: flex-start;display: flex;flex-flow: row;margin-bottom: 10px;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;border-color: rgb(228, 43, 42);padding: 3px;"><section style="justify-content: flex-start;display: flex;flex-flow: row;" powered-by="xiumi.us"><section style="display: inline-block;width: 100%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;border-color: rgb(228, 43, 42);padding: 20px;"><section style="text-align: justify;" powered-by="xiumi.us"><p> 孕产妇血栓的发生率是普通人群的4-5倍，这其中发生深静脉血栓的概率是75-80%。如果出现下肢疼痛肿胀、两腿围相差2cm以上、下肢红斑、青紫等，建议及时就医，警惕下肢深静脉血栓的发生。</p><p> 如何预防产后下肢深静脉血栓呢？</p><p><br></p><p><strong>1、减少食盐的摄入</strong></p><p>选择高蛋白、高维生素、高纤维素的食物，避免高脂肪、高糖的食物，保持大便通常。视身体情况多饮水，每日2500~3000毫升以上。</p><p><strong>2、适度运动</strong></p><p>很多人有一个误区，以为“坐月子”就要静坐不动，运动量越少越好。但实际上，产后适度运动有助于帮助宝妈恢复身体机能。坐着超过2到3小时要走一走或者拉伸一下。长期久坐不动，最容易诱发血栓。</p><p><strong>3、孕期保证体重的适度增长。</strong></p><p><strong>4、穿分级加压弹力袜（GECS）或者使用简短气囊压迫（IPC）。</strong></p><p>（注：穿弹力袜时，需注意大小合适和穿着方式，不要向下翻折。每日脱下时间不超过30分钟，确保足趾活动自如。）</p><p><strong>5、高风险人群遵循医嘱用药。</strong></p><p><strong>6、适度舒缓按摩</strong></p><p>产后对产妇进行下肢的舒缓按摩，帮助血液循环，协助下床适量运动，帮助下肢血液循环，从而一定程度上减少血栓形成的风险。</p></section></section></section></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: 20px;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;border-color: rgb(206, 40, 39);border-top-left-radius: 20px;border-top-right-radius: 20px;overflow: hidden;height: auto;margin-left: -9px;background-color: rgb(253, 242, 244);"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section></section></section><section style="justify-content: flex-start; display: flex; flex-flow: row; margin-bottom: 10px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: auto;align-self: stretch;flex: 100 100 0%;border-top: 1px solid rgb(206, 40, 39);border-left: 1px solid rgb(206, 40, 39);overflow: hidden;height: auto;padding-right: 13px;border-bottom: 1px solid rgb(206, 40, 39);border-bottom-left-radius: 20px;background-color: rgb(253, 242, 244);"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section></section><section style="display: inline-block; vertical-align: top; width: 20px; align-self: stretch; flex: 0 0 auto; border-bottom: 1px solid rgb(206, 40, 39); border-left: 1px solid rgb(206, 40, 39); border-right: 1px solid rgb(206, 40, 39); overflow: hidden; height: auto; margin-right: 19px; margin-left: -11px; border-bottom-left-radius: 20px; border-bottom-right-radius: 20px;"><section style="text-align: justify;" powered-by="xiumi.us"><p><br></p></section></section></section></section><p style="outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; font-size: 16px; color: rgb(97, 47, 34); text-align: center; text-indent: 2em; visibility: visible;"><br></p><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 让渭南区域内的百姓在“家门口”就能享受到优质的介入诊疗。 切实做到用规范促进医疗、用典型示范服务 提升诊疗技术水平和服务能力 感谢分享…… 谢谢发布！！！ 希望大家健康快乐 zhuyishentijiankya 注意身体健康呀 介入疗法溶血栓。
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