Nursing case analysis of a patient with laparoscopic myomectomy complicated with deep vein thrombosis of lower extremities
1例腹腔镜子宫肌瘤切除术患者合并下肢深静脉血栓的护理病案分析

摘要

目的 探究腹腔镜子宫肌瘤切除术患者合并下肢深静脉血栓的护理措施与成效。方法 对1例多发性子宫肌瘤患者开展腹腔镜子宫肌瘤切除术治疗，期间发生双下肢肌间静脉血栓。结合患者的病情、机体水平、临床表现等多方面情况进行护理评估后，明确护理问题与护理目标，并对患者实施下肢护理、心理护理、健康教育、并发症预防等多项护理措施。结果 患者的血栓得到显著控制，住院第24天基本好转出院。结论 下肢深静脉血栓会影响腹腔镜子宫肌瘤切除术患者的治疗效果及预后，临床应加强护理和控制。

Abstract

Objective: To explore the nursing measures and effects of laparoscopic myomectomy with lower extremity deep vein thrombosis.
Methods A patient with multiple uterine fibroids was treated with laparoscopic myomectomy, during which the bilateral lower extremity intermuscular venous thrombosis occurred. Nursing assessments are carried out in combination with the patient's condition, body level, clinical manifestations, etc., to clarify the nursing problems and goals, and implement a number of nursing measures such as lower extremity nursing, psychological nursing, health education, and complication prevention.
Results The thrombosis of the patient was significantly controlled, and the patient was basically improved and discharged on the 24th day of hospitalization.
Conclusion   Lower extremity deep vein thrombosis can affect the treatment effect and prognosis of patients undergoing laparoscopic myomectomy, and clinical nursing and control should be strengthened.