冠状动脉旋磨术治疗闭塞性病变的介入护理配合  

Nursing for treatment of coronary artery occlusive disease with rotational atherectomy

作　　者：张峥[1] 毛燕君[1] 胡亚琴[1] 袁亿里[1] 朱康玲[1] 

机构地区：[1]上海长海医院影像医学科导管室,上海200433

出　　处：《当代医学》2011年第30期108-110,共3页Contemporary Medicine

摘　　要：目的探讨冠状动脉旋磨术治疗闭塞性病变的介入护理特点及注意事项。方法回顾性总结2010年1月～2010年11月收治的6例冠状动脉闭塞性病变患者在急救护理、旋磨护理、抗凝护理、并发症预防等方面的介入护理体会。结果 6例冠状动脉旋磨术均成功,无急性心肌梗塞发作,无1例死亡。结论对于球囊不能通过或不可扩张的重度钙化或纤维性斑块狭窄及闭塞,应用冠状动脉旋磨术取得很高成功率,护理人员应及时发现病情变化,通过透视监视器来判断手术过程,做出相应判断。Objective To discuss the importance of intervention radiology nursing in treatment of coronary artery occlusive disease with rotational atherectomy. Methods Nursing methods in 6 cases were retrospectively summarized, who suffered from coronary artery occlusion disease and underwent rotational atherectomy. Nursing measures included administration of anticoagulation and prevention of complications and nursing observation, etc. Results Neither death nor acutemyocardial infarction occurred in all 6 cases. Conclusion The carefully observation and standard nursing pathway play a significant role for ensuring a successful procedure in coronary artery occlusive disease with rotational atherectomy.

关 键 词：冠状动脉 旋磨术 介入 护理配合 

分 类 号：R473.5[医药卫生—护理学]