下肢静脉曲张病人的护理课件

《下肢静脉曲张病人的护理课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、下肢静脉曲张病人的护理外科廖冬梅Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.【定义】下肢静脉曲张是指下肢浅表静脉因血流回流障碍而引起的以静脉扩张、迂曲为主要表现的一种疾病，晚期常合并小腿慢性溃疡。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011Aspose

2、PtyLtd.【解剖和生理】下肢静脉系统：1、浅静脉——大隐静脉、小隐静脉2、深静脉3、交通静脉4、肌静脉Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.静脉瓣膜：使下肢静脉血流由下向上

3、，由浅入深地单向回流。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.病因及发病机制1.先天性发育异常：先天性静脉壁薄弱、静脉瓣膜缺陷。2.后天性致病因素：如长期站立、重体力劳动、妊娠、习惯性便秘等因素使腹腔内压力增高，影响下肢静脉血回流。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copy

4、right2004-2011AsposePtyLtd.☆临床表现1.早期：感下肢酸胀、沉重、乏力，久站后足踝部肿胀。小腿处浅静脉扩张、迂曲成团、隆起，直立时更明显。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011

5、AsposePtyLtd.Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.2.晚期：小腿和踝部皮肤发生营养性改变，出现皮肤萎缩、脱屑、瘙痒、色素沉着。由于营养缺乏轻微损伤就形成经久不愈的慢性溃疡，并可出现血栓性静脉炎，甚至皮肤破溃时大量出血。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Cop

6、yright2004-2011AsposePtyLtd.Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.辅助检查1.浅静脉及交通支瓣膜试验（1）.大隐静脉瓣膜试验Evaluationo

7、nly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.（2）.交通支瓣膜试验Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.2.深静脉通畅试验Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfi

8、le5.2.0.0.Copyright2004-2011AsposePtyLtd.【护理诊断】（一）活动无耐力：与下肢静脉曲张致血液瘀积有关（二）潜在并发症：小腿慢性溃疡、湿疹、血栓性静脉炎、出血（三）知识