肾动脉狭窄合并一过性肺水肿患者的护理  

Nursing Experience of Flash Pulmonary Edema Caused by Artery Stenosis

作　　者：宁清秀[1] 邢攸红[1] 

机构地区：[1]中国人民解放军总医院心内科监护室,北京100853

出　　处：《护理学报》2007年第1期50-51,共2页Journal of Nursing（China）

摘　　要：目的分析肾动脉狭窄导致一过性肺水肿患者的临床特点及护理体会。方法回顾分析12例因肾动脉狭窄导致难治性高血压、合并夜间阵发性呼吸困难的患者,介入治疗前后临床症状变化及护理要点。结果所有患者均伴有单侧或双侧肾动脉狭窄,在肾动脉支架植入术后3个月,血压均较术前明显降低(P<0.05),夜间阵发性呼吸困难消失,7例肾功能不全患者血肌酐降低。强调对此类患者细致的心理护理及介入前后血压、电解质、肾功能密切监测对病情改善至关重要。结论肾动脉狭窄合并一过性肺水肿患者进行介入治疗效果较好,护理重点是密切观察血压、电解质和肾功能的变化。Objective To analyze the clinical of flash pulmonary edema cause by artery stenosis and explore the corresponding nursing measure. Methods 12 patients with refractory hypertension and paroxysmal noctumal dyspnea caused by renal artery stenosis who were hospitalized between June 2004 and June 2005 were retrospectively analyzed. In addition, changes of clinical features between before and after interventional therapy and nursing points were also analyzed. Results Blood pressure was significantly lowered 3 months after renal artery interventional therapy （P〈0.05）, the symptom of paroxysmal noctumal dyspnea disappeared and renal function was improved in 7 patients with renal dysfunction. Psychological nursing and monitoring of blood pressure and electrolyte were emphasized. Conclusion Careful psychological nursing and close monitoring of blood pressure, electrolyte and renal function play important role in the treatment.

关 键 词：肾动脉狭窄 一过性肺水肿 护理 

分 类 号：R692[医药卫生—泌尿科学]