急性心肌梗死65例发病后不同时间溶栓治疗临床观察及护理

目的:探讨急性心肌梗死患者发病后不同时间溶栓治疗的效果及护理。方法:将65例急性心肌梗死患者按发病至溶栓开始时间分为A组(2 h之内)21例、B组(2～4 h)21例、C组(4～6 h)23例,均行静脉溶栓治疗,并给予精心护理,观察、比较三组临床效果。结果:所有病例经溶栓治疗并采用相应护理措施后,病情均得到有效控制,无一例出现并发症及再梗死,三组溶栓后冠脉再通率、心功能Killip≥Ⅲ级例数比较差异有统计学意义(P<0.01)。结论:对急性心肌梗死患者行溶栓治疗并结合有效护理措施,能迅速使冠状动脉再通,减少心肌梗死范围及并发症的发生,降低病死率,促进患者早日康复。

Clinical observation on 65 cases of acute myocardial infarction treated with thrombolytic therapy at different time after heart attack and nursing care

Objective: To investigate the effect of thrombolytic therapy in the treatment of patients with acute myocardial infarction at different time after heart attack and nursing care.Methods: 65 patients with acute myocardial infarction were divided into group A(n=21,within 2 hours),group B(n=21,2~4 hours) and group C(n=23,4~6 hours) according to the time from heart attack to the beginning of thrombolytic therapy.The patients in the three groups were given intravenous thrombolytic therapy and meticulous nursing c...