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急性心肌梗死合并泵功能衰竭高危患者主动脉球囊反搏的早期应用
引用本文:张爱琴,方颖,鲜玉琼,王轶,汤莉伟.急性心肌梗死合并泵功能衰竭高危患者主动脉球囊反搏的早期应用[J].护理实践与研究,2011,8(24):40-43.
作者姓名:张爱琴  方颖  鲜玉琼  王轶  汤莉伟
作者单位:1. 上海市第七人民医院ICU,200137
2. 上海市第二人民医院护理部,200011
摘    要:目的:探讨急性心肌梗死合并泵功能衰竭高危患者早期运用主动脉球囊反搏的护理对策。方法:选择早期在主动脉球囊反搏运用下行经皮冠状动脉介入治疗的急性心肌梗死合并泵功能衰竭高危患者15例,观察临床疗效,总结护理经验。结果:15例患者中,13例恢复良好,2例术后病情恶化死亡,总有效率86.67%。结论:周到、细致的护理是急性心肌梗死合并泵功能衰竭高危患者在早期主动脉球囊反搏运用下成功度过心肌梗死后危险期的基本保证。

关 键 词:急性心肌梗死  泵功能衰竭  主动脉球囊反搏  经皮冠状动脉介入

The application of intra-aortic balloon counterpulsation in acute myocardial infarction with cardiac pump failure
Institution:ZHANG Ai-qin,XIAN Yu-qiong,WANG Yi,et al(Shanghai Seventh People′s Hospital,Shanghai 200137)FANG Ying(Shanghai Second People′s Hospital,Shanghai 200011)
Abstract:Objective: To investigate the nursing countermeasures of intra-aortic balloon counter pulsation(IABP) in precutaneous coronary intervention patients with cardiac pump failure during acute myocardial infarction(AMI).Methods: 15 AMI patients aided by IABP because of unstable circulation status undergone PCI being with careful nursing.Results: 13 patients accepted IABP therapy were remained well and 2 patients died.The IABP successful rate was 86.7%.Conclusion: Intensive care is the basic guarantee for the precutaneous coronary intervention patients with cardiac pump failure during AMI.IABP can help such patients pass the treacherous time.
Keywords:Acute myocardial infarction  Cardiac pump failure  Intra-aortic balloon counter pulsation  Percutaneous coronary intervention intensive
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