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主动脉内球囊反搏支持下介入治疗急性心肌梗死后休克的术后护理
引用本文:郝婧,杨红梅,刘春雪,邢攸红,杨霞.主动脉内球囊反搏支持下介入治疗急性心肌梗死后休克的术后护理[J].解放军护理杂志,2010,27(3):197-198.
作者姓名:郝婧  杨红梅  刘春雪  邢攸红  杨霞
作者单位:解放军总医院心内科监护室,北京,100853
摘    要:目的探讨急性心肌梗死(acute myocardial infarction,AMI)后心源性休克经皮冠状动脉介入(percutaneous coronary intervention,PCI)及主动脉内球囊反搏(intra-aortic balloon pump,IABP)治疗的术后护理对策。方法回顾性分析1999-2009年67例行PCI及IABP治疗的AMI心源性休克患者的临床资料,总结抢救护理的经验。结果67例患者中,44例痊愈出院,23例死亡,病死率为34.33%。结论经PCI及IABP治疗AMI心源性休克的护理重点是加强观察,选择合适的体位,及时制止反搏泵停搏,根据患者的心功能进行输液管理,积极预防并发症。

关 键 词:急性心肌梗死  心源性休克  经皮冠状动脉介入治疗  主动脉内球囊反搏  护理

Postoperative Nursing of Percutaneous Coronary Intervention Therapy Combined with Intra-aortic Balloon Pump in Patients with Cardiogenic Shock Caused by Acute Myocardial Infarction
Hao Jing,Yang Hong-mei,Liu Chun-xue,Xing You-hong,Yang Xia.Postoperative Nursing of Percutaneous Coronary Intervention Therapy Combined with Intra-aortic Balloon Pump in Patients with Cardiogenic Shock Caused by Acute Myocardial Infarction[J].Nursing Journal of Chinese People's Liberation Army,2010,27(3):197-198.
Authors:Hao Jing  Yang Hong-mei  Liu Chun-xue  Xing You-hong  Yang Xia
Institution:Cronary Care Unit;General Hospital of PLA;Beijing 100853;China
Abstract:Objective To investigate the strategy of postoperative nursing of percutaneous coronary intervention(PCI)therapy combined with intra-aortic balloon pump(IABP)in patients with cardiogenic shock caused by acute myocardial infarction(AMI).Methods The data of 67 patients with cardiogenic shock caused by AMI from 1999 to 2009 were retrospectively analyzed.The main points of nursing care related to those patients' prognosis were summarized.Results Of the 67 patients,44(65.67%)were cured,and 23(34.33%)died.Conclus...
Keywords:acute myocardial infarction(AMI)  cardiogenic shock  percutaneous coronary intervention(PCI)  intra-aortic balloon pump(IABP)  nursing
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