冠脉支架术后双重抗血小板治疗并发上消化道出血的护理干预  

The nursing intervention of upper gastrointestinal hemorrhage with dual antiplatelet therapy after percutaneous coronary intervention

作　　者：史震涛[1] 王喜福[1] 刘秀敏[1] 张艳红[1] 刘巧云[1] 

机构地区：[1]北京大学首钢医院心血管内科,100041

出　　处：《护理实践与研究》2010年第20期42-44,共3页Nursing Practice and Research

摘　　要：目的:分析冠心病患者经皮冠状动脉介入治疗后并发上消化道出血的临床特点,并提出护理干预措施。方法:选取我院2006年1月～2009年12月心内科经皮冠状动脉介入治疗患者638例,其中6例并发上消化道出血,详细记录其临床特点、出血情况,同时进行护理干预。结果:本研究显示经皮冠状动脉介入治疗后上消化道出血发生率为0.94%。6例患者经积极的临床救治和护理干预,1～3d后出血停止,5例好转出院,1例出血停止后1d,出现脑血管意外,再发急性左心力衰竭,最终多器官功能衰竭死亡。结论:护理人员通过密切的临床观察,早期识别高危因素,正确评估判断出血情况,准确配合抢救和护理,有利于患者的康复和预后。Objective：To analyze the clinical features of upper gastrointestinal bleeding after percutaneous coronary intervention（PCI） in patients with coronary heart disease, and to propose the measures of nursing interventions. Methods： We chose 638 patients after PCI from Jan. 2006 to Dec. 2009 from department of cardiology, of which the upper gastrointestinal bleeding occurred in 6 patients. The clinical characteristics, bleeding information and nursing intervention were recorded. Results： 6 patients 1-3 days bleeding stopped by positive clinical treatment and nursing intervention , amoung which 5 patients discharged from hospital; 1 case got cerebrovascular accident, recurrent acute left ventricular failure and ultimately multiple organ failure death after 1 day bleeding stopped.Conclusion ： Closely clinical observation, early identification of risk factors, correctly assessing the situation of bleeding, and accurate rescuing and care by nursing are beneficial to rehabilitation and the prognosis of patients.

关 键 词：经皮冠状动脉介入治疗 上消化道出血 抗血小板治疗 护理 

分 类 号：R473.5[医药卫生—护理学]