Angiojet吸栓术患者康复信念干预方案的构建与应用

目的 提高下肢深静脉血栓形成行Angiojet吸栓术患者康复信念及运动效能,促进其康复。 方法 将100例下肢深静脉血栓形成行Angiojet吸栓术患者按住院时间分为对照组与观察组各50例。对照组实施常规护理,观察组在常规护理的基础上构建和实施基于时机理论的康复信念干预方案。干预至患者出院3个月时评价效果。 结果 出院3个月时,观察组服药信念与运动效能评分显著高于对照组,出血发生率显著低于对照组（均P＜0.05）,未发生肺栓塞、无复发病例。 结论 康复信念干预方案用于下肢深静脉血栓形成行Angiojet吸栓术患者,可有效提高患者服药信念及运动效能,降低并发症发生率及复发情况。     

Angiojet机械吸栓治疗在手术相关下肢深静脉血栓患者中的应用及疗效

目的:评价Angiojet机械吸栓治疗手术相关下肢深静脉血栓形成(DVT)患者的早期疗效和安全性。方法:回顾性分析2015年9月—2017年1月91例急性DVT(中央或者混合型)患者临床资料,其中30例为手术相关DVT(观察组),61例为非手术相关DVT(对照组),两组患者均首选Angiojet吸栓治疗,后续辅以导管接触性溶栓(CDT)或支架植入,比较两组患者相关临床指标。结果:两组患者术前一般资料无统计学差异(均P0.05)。两组患者支架植入率、支架直径和长度差异均无统计学意义(均P0.05),对照组平均溶栓时间明显长于观察组(2.31 d vs. 1.50 d,P0.05)。两组均无大出血事件及死亡、心血管事件等严重并发症发生,对照组和观察组分别出现6例和4例穿刺点出血,及新发2例及1例症状性肺动脉栓塞,差异均无统计学意义(均P0.05)。两组术后1年通畅率(对照组:88.52%vs.观察组:90.00%)、VRI评分及Villalta评分差异均无统计学意义(均P0.05)。结论:Angiojet吸栓治疗用于手术相关DVT安全且有效。     

导管吸栓在急性下肢深静脉血栓形成患者导管接触性溶栓术后的应用

目的 探讨导管吸栓技术治疗急性下肢深静脉血栓形成(deep venous thrombosis,DVT)患者行CDT后残留血栓性静脉闭塞的可行性.方法 分析2014年1月至2018年12月海南省人民医院收治114例CDT治疗后仍残留血栓性静脉闭塞的急性下肢DVT患者临床资料,患者根据是否采用导管吸栓技术抽吸残余血栓分为...     

急性心肌梗死患者的急救护理

急性心肌梗死是急诊科常见急症，发病急、死亡率高，临床中严密观察病情、早期做出诊断、积极抢救和及时有效的护理是救治成功的关键。     

Angiojet Ultra应用于下肢深静脉血栓患者的护理体会

目的总结下肢深静脉血栓患者应用Angiojet Ultra治疗的护理经验。方法 10例下肢深静脉血栓患者应用Angiojet Ultra取栓治疗后,给予个体化的预见性护理。结果 10例患者中2例出现皮下淤血,1例发生糖尿病肾病,1例出现血红蛋白尿,均经及时护理观察发现、积极给予处理,预后良好。结论 Angiojet Ultra应用于下肢深静脉血栓患者,创伤小,安全可靠,精心的护理观察是保障患者安全,促进患者早日康复的关键。     

AngioJet机械吸栓系统临床应用的研究进展

早期临床治疗血管内血栓形成以切开血管取出血栓为主要治疗方法,随着血管腔内治疗手段进步和设备的创新,腔内治疗已成为治疗血管内血栓形成的新兴手段.尤其是机械吸栓术已逐步成为国内外研究的焦点.本文采用文献分析法对有关AngioJet机械吸栓系统在肺栓塞、下肢深静脉血栓形成、急性下肢动脉缺血、门静脉血栓等领域的应用情况进行综述...     

急性心肌梗死患者院前急救护理体会

目的 熟悉急性心肌梗死(AMI)院前急救的流程,探讨加强院前快速高效急救与安全转运AMl患者的方法.方法 回顾性分析42例急性心肌梗死患者院前急救的临床资料,总结医护人员到达发病现场后,对AMl患者进行抢救的经验.结果 本组42例中4例在到达现场之前已死亡,余38例均及时转运回院进一步予以生命支持及溶栓等治疗.结论 重...     

美托洛尔治疗急性心肌梗死患者的护理

目的探讨美托洛尔治疗急性心肌梗死(AMI)的护理方法。方法选取22例急性心肌梗死患者在常规治疗的基础上静脉推注美托洛尔,观察美托洛尔对AMI患者胸痛、心率、血压、再住院率及猝死率的影响。结果胸痛缓解有效率为72.7%,心率、血压、再住院率和猝死率均有下降。结论美托洛尔能降低AMI患者猝死率,改善AMI患者预后,但在给药后应密切观察患者心率和血压的变化,特别是在24h内。     

急性心肌梗死患者的临床护理探讨

通过分析患者临床表现,探讨冠状动脉介入治疗急性心肌梗死患者的临床护理.方法对本组86例患者行规范术前、术中和术后合程护理,并观察效果.结果本组86例子患者中2例发生穿刺血肿外,其余全部安全立痊愈出院.结论规范化的全程护理降低了手术并发症和意外的发生,同时很大程度上减轻了患者的痛苦.     

美托洛尔治疗急性心肌梗死患者的护理

目的探讨美托洛尔治疗急性心肌梗死（AMI）的护理方法。方法选取22例急性心肌梗死患者在常规治疗的基础上静脉推注美托洛尔，观察美托洛尔对AMI患者胸痛、心率、血压、再住院率及猝死率的影响。结果胸痛缓解有效率为72．7％，心率、血压、再住院率和猝死率均有下降。结论美托洛尔能降低AMI患者猝死率。改善AMI患者预后。但在给药后应密切观察患者心率和血压的变化．特别是在24h内。     

护理对多层螺旋CT头CTA检查的影响

回顾性分析我院成功救治45例急性心梗患者的护理方法,从常用溶栓药物及使用方法、溶栓中的护理操作技能及监测技术、静脉溶栓中的病情观察和整体护理方面总结急性心肌梗死病人行静脉溶栓治疗的相关护理问题.     

基于手机App急性心肌梗死患者中期照护模式的实施

目的探讨基于手机App的中期照护模式对急性心肌梗死患者经皮冠状动脉介入手术(PCI)后自我护理能力及生活质量的影响。方法将82例急性心肌梗死患者随机分为对照组和干预组各41例。对照组采用传统的出院宣教指导和电话随访,干预组利用构建的急性心肌梗死中期照护移动信息平台进行为期4周的中期照护服务干预。比较干预前后两组自我护理能力和生活质量。结果干预后干预组自我护理能力和生活质量评分显著高于对照组(P0.05,P0.01)。结论基于手机App的中期照护模式能有效提高急性心肌梗死患者PCI术后的自我护理能力,改善患者生活质量。     

Perioperative myocardial infarction in patients undergoing myocardial revascularization surgery

Introduction

Perioperative myocardial infarction adversely affects the prognosis of patients undergoing coronary artery bypass graft and its diagnosis was hampered by numerous difficulties, because the pathophysiology is different from the traditional instability atherosclerotic and the clinical difficulty to be characterized.

Objective

To identify the frequency of perioperative myocardial infarction and its outcome in patients undergoing coronary artery bypass graft.

Methods

Retrospective cohort study performed in a tertiary hospital specialized in cardiology, from May 01, 2011 to April 30, 2012, which included all records containing coronary artery bypass graft records. To confirm the diagnosis of perioperative myocardial infarction criteria, the Third Universal Definition of Myocardial Infarction was used.

Results

We analyzed 116 cases. Perioperative myocardial infarction was diagnosed in 28 patients (24.1%). Number of grafts and use and cardiopulmonary bypass time were associated with this diagnosis and the mean age was significantly higher in this group. The diagnostic criteria elevated troponin I, which was positive in 99.1% of cases regardless of diagnosis of perioperative myocardial infarction. No significant difference was found between length of hospital stay and intensive care unit in patients with and without this complication, however patients with perioperative myocardial infarction progressed with worse left ventricular function and more death cases.

Conclusion

The frequency of perioperative myocardial infarction found in this study was considered high and as a consequence the same observed average higher troponin I, more cases of worsening left ventricular function and death.     

Reevaluation of perioperative myocardial infarction in patients with prior myocardial infarction undergoing noncardiac operations

We studied 275 patients with prior myocardial infarctions undergoing noncardiac operations to determine the incidence and outcome of perioperative myocardial reinfarction. Perioperative myocardial reinfarction developed in 13 patients (4.7%) of whom 3 (23%) died of cardiac causes. When time between prior myocardial infarction and the date of anesthesia was analyzed, the incidence of perioperative myocardial reinfarction was 4.3% at 0-3 mo, 0 at 4-6 mo, 5.7% at greater than 6 mo, and 3.3% at an indeterminate exact interval. None of the variables analyzed showed any significant correlation with the rate of reinfarction. The urgency of operation and aortic or vascular procedures were the only variables that approached, but failed to achieve, statistical significance.     

Transaortic video-assisted thrombectomy in the left ventricular cavity after acute myocardial infarction

In recent years much attention has been paid to a minimal invasive surgery even in the field of cardiac surgery. We have successfully treated a 59 year-old male who underwent transaortic video-assisted thrombectomy in the left ventricular cavity following acute myocardial infarction due to occlusion (No. 7) of the left descending coronary artery (LAD). After the LAD was recanalized by percutaneous transluminal coronary angioplasty (PTCA) and then stenting, this thrombectomy was carried out. Following initiation of cardiopulmonary support, thrombus in the left ventricular apex was safely removed by transaortic endoscopic guidance. This technique was useful especially for the patient with poor ventricular function due to acute myocardial infarction because of no left ventriculotomy. Endoscopic guidance technique is reported in detail.     

局部亚低温治疗脑梗死介入溶栓术后患者的观察及护理

目的 总结局部亚低温治疗急性脑梗死溶栓后患者的临床护理方法.方法 对30例脑梗死介入溶栓后的患者,做好溶栓术前准备,溶栓术后予以亚低温治疗护理,积极预防和处置术后并发症.结果 治疗1个月后,患者欧洲卒中评分量表(ESS)及运动功能评分(FMA)显著高于治疗前,差异有统计学意义(均P＜0.01).结论 局部亚低温具有脑保...     

5例二氯甲烷群体性急性中毒患者的护理

对5例二氯甲烷群体性急性中毒患者在院前、院内进行综合对症救护。结果患者于中毒后第5天出院。随访1～2个月,5例患者均恢复健康且无并发症发生。提示对二氯甲烷急性中毒患者,院前迅速脱离现场,给予氧气吸入、清水擦拭身体;院内综合救治,做好病情观察、氧气吸入,采取措施预防肺部感染、继发脑水肿、氧中毒,做好心理护理,可提高救治率...