急性心梗急诊行PCI术中并发症的观察和预见性护理探讨
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摘要
目的通过对急性心梗急诊行经皮冠状动脉介入治疗(PCI)术中易发生、危及生命安全、需迅速处理的并发症进行分析,制定有针对性的护理预防措施。方法选择2013年1月至2015年6月收治的急性心梗急诊行PCI患者360例,对术中出现血压降低、室速、室颤、无复流、慢血流等需及时处理的并发症进行分析。结果术中出现并发症140例,除1例死亡外,其余并发症均得到及时有效处理,并顺利完成手术。结论及时有效的护理干预可减少PCI术中并发症的进一步恶化,缩短手术时间,提高手术成功率。
Objective To develop targeted nursing precautions through observing and analyzing the complications of emergency PCI in acute myocardial infarction. Methods Retrospective analysis of complications in 360 acute myocardial infarction cases underwent emergency PCI from January 2013 to June 2015, such as reduced blood pressure, ventricular tachycardia,ventricular fibrillation, no reflow, slow blood flow and so on. Results The operation complications appeared in 140 cases, except 1 cases died, the other cases were treated in time and completed the operation successfully. Conclusion Prompt and effective nursing intervention can reduce the futher deterioration of complications in PCI, shorten the operation time and increase the success rate of operation.
Objective To develop targeted nursing precautions through observing and analyzing the complications of emergency PCI in acute myocardial infarction. Methods Retrospective analysis of complications in 360 acute myocardial infarction cases underwent emergency PCI from January 2013 to June 2015, such as reduced blood pressure, ventricular tachycardia,ventricular fibrillation, no reflow, slow blood flow and so on. Results The operation complications appeared in 140 cases, except 1 cases died, the other cases were treated in time and completed the operation successfully. Conclusion Prompt and effective nursing intervention can reduce the futher deterioration of complications in PCI, shorten the operation time and increase the success rate of operation.
引文
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[4]姬燕,周恩会,占玲.预见性护理干预在急性心肌梗死急诊冠状动脉介入术并发症中的应用策略[J].吉林医学,2016,37(4):1018-1019.
[5]杨华.急性心梗急诊PCI的观察及护理[J].工企医刊,2014,27(4):868-869.
[6]徐文生.硝普钠联合替罗非班治疗急性心肌梗死急诊PCI冠状动脉无复流疗效分析[J].齐齐哈尔医学院学报,2015,36(30):4572-4573.
[2]吴静霞,刘惠玲.急性心肌梗死患者近期预后影响因素分析及康复护理[J].现代医院,2011,11(12):74-76.
[3]吴小玲,邱梅,黄锡球.急诊经皮冠状动脉介入术中持续动脉压力波形监测预防再灌注心律失常的护理[J].中华现代护理杂志,2010,16(16):1888-1889.
[4]姬燕,周恩会,占玲.预见性护理干预在急性心肌梗死急诊冠状动脉介入术并发症中的应用策略[J].吉林医学,2016,37(4):1018-1019.
[5]杨华.急性心梗急诊PCI的观察及护理[J].工企医刊,2014,27(4):868-869.
[6]徐文生.硝普钠联合替罗非班治疗急性心肌梗死急诊PCI冠状动脉无复流疗效分析[J].齐齐哈尔医学院学报,2015,36(30):4572-4573.