急救护理在急性重症病毒性心肌炎并发急性肾衰竭患者的应用效果

目的:探讨急性重症病毒性心肌炎合并急性肾衰竭的患者给予急救护理的效果。方法:对60例确诊为急性重症病毒性心肌炎合并急性肾衰竭的患者给予急救处理措施,从病情早期识别、恶性心律失常、机械通气、急性肾衰竭和药物应用等方面给予急救护理,观察急救措施和护理后患者心功能和肾功能指标的变化。结果:经积极救治和护理干预后,60例患者血肌酐、尿素氮、心率、肌钙蛋白的水平均明显低于急救护理前,尿量、收缩压和舒张压均明显高于急救护理前(P<0.01)。结论:急性重症病毒性心肌炎并发急性肾衰竭的患者给予急救措施和护理干预后,心功能和肾功能均明显改善,患者预后良好。

The application effect of emergency care on the patients with acute severe viral myocarditis complicated with acute renal failure

Objective:To investigate the effects of emergency care on the patients with acute severe viral myocarditis complicated with acute renal failure. Methods:Sixty patients with acute severe viral myocarditis complicated with acute renal failure were emergently nursed,which included the early recognition of the disease,malignant arrhythmias,mechanical ventilation,acute renal failure and drug use. The indexes of cardiac function and renal function were observed after emergency care. Results:After active treatment and nursing intervention of 60 patients,the levels of serum creatinine,urea nitrogen,heart rate and cardiac troponin I were significantly lower than those of before emergency care, the urine volume, systolic and diastolic blood pressure were significantly higher than those of before emergency care(P <0. 01). Conclusions:The emergency care on the patients with acute severe viral myocarditis complicated with acute renal failure can significantly improve the cardiac and renal function,and prognosis of patients.