急性心肌梗死患者便秘原因的防治

目的：探讨急性心肌梗死（AMI）患者便秘原因及防治措施。方法：分析42例AMI患者出现便秘的原因，并采取有针对性的个体化防治策略。结果：42例AMI患者中有36例发生便秘，占85．70％，1例因便秘引起广泛前壁大面积心肌梗死，4例排便时出现心绞痛、急性左心衰竭。经个体化护理后，36例AMI合并便秘患者排便正常。结论：AMI患者发生便秘几率很高，此时易发生严重心脏并发症，施行个体化护理是防治AMI患者便秘的有效方法。

Prevention and treatment of constipation in patients with acute myocardial infarction

Objective：To analyze the reasons of constipation in the patients with acute myocardial infarction （AMI） and the strategy of countermeasures.Methods：The possible reasons causing constipation in AMI patients were analyzed, and the nursing strategies suitable for each patient were given.Results：Among 42 AMI patients 36 had constipation,the percentage was 85.70%.One patient had AMI at wide anterior wall, 4 experienced angina pectoris, acute left heart failure while moving their bowels.After the nursing,all of them could move bowels smoothly. Conclusion：AMI patients have the high percentage of experiencing constipation,this may induce the occurrence of serious cardiac complications.To give nursing suitable for each patient may be a practical means for preventing and treating constipation in AMI.