关键词: 护理体会, 下肢深静脉血栓

Abstract: ［Abstract］ Objective To summarize the nursing experience of 482 patients with deep venous thrombosis（DVT）in our hospital in the past five years and explore the effect of Well′s score and the reasonable nursing measures of DVT. Method The clinical data of 482 patients with DVT in our hospital in the past 5 years were collected. The first 4 years were treated with routine nursing methods. After 2017, the new nursing options was implemented to predicted risk of DVTby using the Wells scale after admission, and the actual coincidence rate of patients′ DVT was calculated.A series of communication and daily key examination carried out for confirmed DVT patients, and highlighted specialist care and necessary rescue preparation. The incidence of DVT between 2017 and the first 4 years was compared and explore new nursing experience from it.Results After the implementation of standardized prevention and treatment of venous thrombus embolism（VTE）and the implementation of standardized nursing measures, a total of 3 pulmonary embolism（PE）cases occurred in 121 DVT patients in 2017. The incidence of DVT concurrent PE was 2.48% which displayed a dramatic decline.Compared with previous years, PE concurrent rate decreased significantly. The difference was statistically significant（P<0.05）. Conclusion The Wells scoring system can accurately predict DVT patients. Sufficient communication with patients diagnosed with DVT, perfect DVT specialist nursing and necessary rescue preparation help to reduce the incidence and mortality of concurrent PE.

Key words: Nursing Experience, Deep Venous Thrombosis