— 生理適應 · MEDIUM · SATA —
護理師照護一位深部靜脈栓塞（DVT）的病人，下列哪些護理措施是合適的？（選所有適合的）
Which nursing interventions are appropriate for a client diagnosed with deep vein thrombosis (DVT)? (Select all that apply.)
- AKeep the affected limb elevated✓ 正解抬高患肢
- BMassage the affected limb to increase circulation按摩患肢以增加循環
- CApply warm, moist compresses to the area✓ 正解在患處應用溫溼敷料
- DMaintain strict bed rest as prescribed✓ 正解遵照醫囑嚴格臥床休息
- EEncourage frequent ambulation to promote venous return鼓勵頻繁下床活動以促進靜脈回流
— Explanation · 中文詳解 —
DVT 照護重點在於減輕疼痛並預防栓塞脫落引發肺栓塞。抬高患肢（A）可減輕腫脹，熱敷（C）可促進血液循環減緩炎症，維持臥床（D）是為了避免栓塞在過度活動下脫落。按摩患肢（B）極度危險，會導致栓塞剝離；在急性期鼓勵行走（E）亦不適當。
Appropriate interventions for deep vein thrombosis include elevating the affected limb to reduce edema, applying warm compresses for comfort, and maintaining bed rest to prevent clot dislodgement. Massaging the limb is strictly contraindicated as it may cause a pulmonary embolism, and ambulation is unsafe until the clot is stabilized with anticoagulants.
✦ 台美臨床差異
兩地皆高度重視 DVT 預防，美國常見使用間歇性氣壓式腿部壓迫器（IPC），台灣在急性期照護流程上與其一致。