急性心肌梗死静脉溶栓后并发症的分析及护理对策

目的：探讨不同部位急性心肌梗死行静脉溶栓后发生心律失常的类型，临床症状特点及护理对策。方法：对66例急性心肌梗死行静脉溶栓患者的临床资料进行回顾性分析。结果：静脉溶检3h左右心律失常发生率较高，其中前、侧壁心肌梗死易发生快速心律失常及泵衰竭，下、后壁心肌梗死易发生窦性心动过缓和房室传导阻滞。结论：不同部位急性心肌梗死行静脉溶栓后并发症的发生各有其发生特点，护士应根据这一特点，提高护理工作的预见性、针对性，及时采取相应的护理对策。

Nursing countermeasure and analysis of complications about acute myocardial infarction with thrombolytic therapy

objective: to discuss the types of arrhythmia occurred after being treated with thrombolytic therapy in patients with acute myocardial infarction (AMI), the symptoms in these patients and some nursing measures. Methods: clinical data of 66 cases with AMI were analyzed retrospectively. Result: mobidity of arrhythmia is higher in 3 hours after treated with thrombolytic, in which anterior and lateral myocardial infarction lead easily to tachy-arrhythmia and heart failure, while inferior and posterior myocardial infarction, to sinus tachycadia and a-trio-ventricular block. Conclusion: It is different for characteristics of complications at patients suffer form AMI, according to different locations, after treated with thrombolytic therapy. Corresponding mursing measures should be performed and predetermination should be taken, based on these characteristics.