5例糖尿病肾病行血液透析诱发无痛性心肌梗死的早期监护  

EARLY CORONARY CARE FOR THE END STAGE OF DIABETIC NEPHROPATHY WITH PAINLESS MYOCARDIAL INFARCTION INDUCED BY HEMODIALYSIS:EXPERIENCE WITH 5 PATIENTS

作　　者：纪文英[1] 郑爱英[1] 郑雪瑛[1] 陈慎仁[1] 杨毅华[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《现代医院》2009年第8期83-84,共2页Modern Hospitals

基　　金：广东省科学技术厅立项课题(粤科计字[2006]621号)

摘　　要：目的探讨糖尿病肾病终末期(ESDN)病人血液透析发生心肌梗死的好发时间及护理重点。方法对64例ESDN实施血液透析病人进行临床资料分析,重点总结其中5例发生心肌梗死患者的临床特点及早期心电监护、早期心脏护理的重点及效果。结果ESDN血液透析病人发生心肌梗死的好发时间为透析过程中及透析结束后0.5～4.0h内。在血液透析过程行心电监护及透析后心脏病监护,加强心脏护理可及时发现心肌梗死并提高抢救成功率。结论提示对ESDN病人透析过程中及透析后应常规行心电监护及心脏护理。Objective To investigate the peak time of myocardial infarction （MI） occurring and the nursing emphasis for the hemodialysis patients with end stage of diabetic nephropathy （ESDN）. Methods Analyzed the clinical data of 64 hemodialysis patients with ESDN, of which, 5 cases complicated with MI were summarized in the aspects of their clinical characteristics, the nursing emphasis and efficacy of early EKG monitoring and coronary care （CC） for them. Results The peak time of MI occurring were during hemodialysis and the first 4.0hs after it, early EKG monitoring and intensive coronary care during hemodialysis and timely CC in the first 4hs after it can discover myocardial infarction timely and thus increase the rate of rescue success. Conclusion In summary, these results suggest that early EKG monitoring and coronary care is essential to these patients undergoing bemodialysis.

关 键 词：糖尿病肾病终末期(ESDN) 血液透析 心肌梗死 心脏病监护(Coronary Care CC) 

分 类 号：R542.22[医药卫生—心血管疾病] R459.5[医药卫生—内科学]