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急性心肌梗死静脉溶栓的观察及护理

Nursing care of patients with acute myocardial infarction undergoing intravenous thromholysis
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摘要 目的探讨急性心肌梗死(AMI)患者静脉溶栓的护理措施。方法对2009年1月-2010年1月间在我院接受静脉溶栓治疗的AMI患者40例给予系统的护理措施。结果本组恢复再通36例,再通率达90.00%。溶栓过程中发生再灌注性心律失常30例,占再通者的83.33%,其中短阵室性心动过速18例,心房颤动10例,严重心动过缓8例,房室传导阻滞4例。出现不良反应3例,其中皮肤粘膜出血2例,荨麻疹1例。结论系统的护理措施是AMI患者顺利实施静脉溶栓的保障。 Objective To investigate the nu^ing care of patients with acute myocardial infarction ( AMI ) undergoing intravenous thrombolysis. Results Systemic nursing care was performed on 40 patients with AMI who had received intravenous thrombolysis during the period of January 2009 to January 2010 in our hospital. 36 of the 40 patients ( 90% ) had recanalization; while 30 pateints ( 83.33% ) occurred reperfusion arrhythmis,during the process of thrombolysis, 18 of whom were ventficular tachycardia, 10 were atrial fibrillation, 8 were severe bradycardia, and 4 were atrioventricular block. Adverse reactions developed in 3 patientg 2 had skin mucosal bleeding and one had urticaria. Conclusions The systemic care ensures the successful practice of intravenous thrombolysis in patients with acute myocardial infarction.
作者 邓瑞玲
机构地区 吴川市人民医院
出处 《国际医药卫生导报》 2011年第11期1386-1389,共4页 International Medicine and Health Guidance News
关键词 急性心肌梗死 静脉溶栓 护理 Acute myocardial infarction Intravenous thrombolysis Nursing
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