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急诊冠状动脉介入治疗的术中配合及术后护理
引用本文:开月梅,丁小容,石兰萍.急诊冠状动脉介入治疗的术中配合及术后护理[J].中国基层医药,2004,11(7):845-846.
作者姓名:开月梅  丁小容  石兰萍
作者单位:518036,深圳,北京大学深圳医院心内科
摘    要:目的总结56例急性心肌梗死患者急诊介入治疗的术中配合及术后护理经验。方法术中做好抢救设备、药品及人员的准备,加强心理护理及病情观察;术后严密观察病情,早期发现并处理严重并发症,做好抗凝治疗、穿刺局部等护理。结果21例在术中术后发现有严重并发症经及时配合抢救而转危为安,经加强术后护理后55例恢复良好出院。结论备齐抢救设备及药品,配备充足的医护人员;术中严密监测,做好心理护理,维持血流动力学相对稳定;术后密切观察,尽早发现并及时处理并发症,做好抗凝治疗等护理是急诊介入治疗成功的关键。

关 键 词:急诊  冠状动脉介入治疗  术中配合  术后护理  急性心肌梗死
修稿时间:2003年12月28

Cooperation in operation and nursing experience after operation of emergency interventional therapy
KAI Yuemei,DING Xiaorong,SHI Lanping.Cardiovascular.Cooperation in operation and nursing experience after operation of emergency interventional therapy[J].Chinese Journal of Primary Medicine and Pharmacy,2004,11(7):845-846.
Authors:KAI Yuemei  DING Xiaorong  SHI LanpingCardiovascular
Institution:KAI Yuemei,DING Xiaorong,SHI Lanping.Cardiovascular Department,Peking University Shenzhen Hospital,Guangdong,518036,China
Abstract:Objective To discuss of cooperation and nursing experience during emergency interventional therapy for 56 AMI patients.Methods We prepared rescue equipment,drugs and people well,reinforce psychological nursing and observation of patients in operation.Patients were observed carefully after operation,discover and manage severe complications early,improved nursing of anticoagulant therapy,local puncture.Results After careful observation and management,21 of 56 cases with severe complications were saved,55 patients recovered and went out of hospitals.Conclusion The key point to improve rescue of patients with emergency interventional therapy is to prepare rescue equipment,drugs and people well,observe patients carefully in operaton,reinforce psychological nursing,keep homodynamic stable,observe patients after operation carefully,discover early and manage severe complications in time,improve nursing of anticoagulant therapy,etc.
Keywords:Emergency  Coronary artery  Interventional therapy  Nursing
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