冠心病介入诊疗术后患者血管并发症的原因分析及护理  

The causations and nursing of blood vessel complications of patients after percutaneous coronary intervention

作　　者：史冬梅[1] 殷学梅[1] 陈牧[1] 

机构地区：[1]江苏省人民医院南京医科大学第一附属医院心脏科,210029

出　　处：《中国实用护理杂志（中旬版）》2008年第10期20-21,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨冠心病诊疗术后血管并发症的原因及护理。方法2005年1月-2008年2月对2546例冠心病患者进行介入手术，对治疗后血管并发症进行分析，总结护理要点。结果发生血管并发症99例，仅1例心包填塞因心室颤动而猝死，其他均康复出院。结论冠心病诊疗术后血管并发症产生的原因错综复杂，熟练的操作技术，重视术前护理，及时发现患者病情变化，有效的治疗和精心护理，是降低并发症发生率的关键。Objective To discuss the causations and nursing points of blood vessel complications of patients after percutaneous coronary intervention （PCI）. Methods 2546 CHD patients underwent PCI during January 2005 to February 2008. We analyzed the cases with blood vessel complications, and discussed nursing points of these patients. Results There were 99 cases with blood vessel complications. All patients recovered except one who died of ventricular fibrillation after cardiac tamponade. Conclusions The causations of blood vessel complications after PCI are complex. Proficient skills, nursing before operations, confirmation of the state of the patients in time, effective treatment combined with careful nursing are all important to prevent these complications.

关 键 词：冠心病 介入 并发症 护理 

分 类 号：R587.2[医药卫生—内分泌] R541.4[医药卫生—内科学]