慢性肺心病合并急性心肌梗死的临床观察及护理

目的 通过对慢性肺心病合并急性心肌梗死(AMI)的临床表现、体征的观察,探讨其临床特点,总结护理经验.方法 对慢性肺心病合并AMI 28例(A组)患者临床表现进行观察分析,以同期收治的单纯性肺心病28例(B组)作对照.结果 两组胸闷、胃肠道反应症状发生率无显著性差异.而肺心病合并AMI的患者突发急性左心衰、心源性休克、持续性心律失常、胸痛的发生率明显高于单纯性肺心病.结论 重视老年性肺心病的临床症状、体征的观察,高度注意肺心病合并AMI特别是无痛性AMI的发生,及早发现急性左心衰、心源性休克、持续性心律失常、胸痛等临床症状和体征,早诊断、早治疗,落实正确的护理措施,对疾病预后至关重要,能有效地降低病死率.

The clinical observation and nursing of chronic cor pulmonale combined with acute myocardial infarction patients

Objective To study the clinical feature and nursing of chronic cor pulmonale combined with acute myocardial infarction (AMI) patients. Methods The clinical manifestation of chronic cor pulmonale combined with AMI patients (28 cases) and chronic cot pulmonale patients (28 cases) were analyzed. Results The incidence rates of chest tightness and the symptom of gastro - intestinal tract had no significant difference. But the incidence rates of acute heart failure, cardiac shock, continuous arrhythmia, chest pain in chronic cot pulmonale combined with AMI patients were higher than those in chronic cot pulmonale patients. Conclusions Pay more attention to observing the clinical manifestation and symptom of chronic cot pulmonale patiens especially for the occurrence of pninless AMI. Diagnosis and treatment earlier and the correct nursing measures can reduce the mortality effectively.