急诊经皮冠状动脉介入术后应用替罗非班的观察及护理  

Observation and nursing of patients treated with tirofiban after the immediate percutaneous coronary intervention

作　　者：周云勤[1] 梁务英[1] 

机构地区：[1]广西医科大学第六附属医院心血管内科,玉林537000

出　　处：《中国临床新医学》2010年第4期385-387,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨急诊经皮冠状动脉植入(PCI)支架前后应用替罗非班抗栓治疗观察和护理要点。方法对117例急性心肌梗死(AMI)行急诊经皮冠状动脉植入支架前后应用替罗非班抗栓治疗患者实施心理护理、用药护理、病情观察和加强术后护理等。结果 117例AMI患者在行PCI中,均无急性冠状动脉血栓形成,仅3例出现泌尿系出血,12例患者发生股动脉穿刺部位的渗血和皮下淤斑,经妥善处理后局部渗血自行吸收。结论通过实施有效护理和密切观察病情变化,及时发现并处理并发症,特别是监测有无潜在的出血,可使治疗顺利进行,提高对AMI患者的抢救成功率。Objective To discuss the points of observation and nursing of the patients treated of the antithrombotic therapy with tirofiban before and after the immediate percutaneous coronary intervention. Methods A total of 117 patients with acute myocardial infarction（AMI） treated with antithrombotic therapy with tirofiban before and after the immediate percutaneous coronary intervention were selected. All of the patients were given psychological care,medicine nursing, careful observation of the condition and careful post-operative care. Results No acute coronary thrombosis was found in all the 117 patients in the process of pereutaneous coronary intervention. Only 3 of 117 patients suffered urinary tract bleeding; 12 of 117 patients suffered femoral artery oozing and subcutaneous eeehyroosis ,and all of the patients with subcutaneous eeehymosis were cured after properly treated. Conclusion The success rate of rescue of AMI can be improved and the treatment earl be performed smoothly by effective nursing, careful observating of the condition, detecting and dealing with complications immediately, especially monitoring of the risk of potential bleeding.

关 键 词：经皮冠状动脉介入术 替罗非班抗栓治疗 护理 

分 类 号：R542.2[医药卫生—心血管疾病]