33例高龄高危AMI患者急诊PCI术中风险评估及护理对策  

Elderly AMI patients in primary PCI： risk assessment and nursing measures

作　　者：孙宁[1] 张彩英[1] 郭莹[1] 王又平[1] 张彩芹[1] 

机构地区：[1]徐州市第一人民医院介入导管室,江苏徐州221002

出　　处：《徐州医学院学报》2015年第1期58-60,共3页Acta Academiae Medicinae Xuzhou

基　　金：徐州市科技计划项目（XZZD1382）

摘　　要：目的探讨高龄高危急性心肌梗死（AMI）患者急诊经皮冠状动脉介入治疗（PCI）术中风险评估及护理对策。方法对33例高龄高危AMI患者急诊PCI术中风险因素进行评估，并采取相应的护理对策。结果33例患者均完成手术，术中风险因素如低血压、心源性休克、心律失常等得到有效控制，未发生冠状动脉急性闭塞、穿孔、心包填塞、死亡等严重并发症。结论对高龄高危患者做好充分的术前准备，术中严密监测生命体征，对风险因素准确评估，预见性护理是手术成功的关键。Objective To evaluate the risk and nursing measures involved in elderly patients receiving primary percutaneous coronary intervention （PCI） due to acute myocardial infarction （AMI）. Methods Totally thirty - three elderly AMI patients were included in the current study. Their risk factors involved in primary PCI were assessed before corresponding nursing measures were taken. Results Primary PCI were successfully carried out in all patients, in which hypotension, cardiogenic shock, and arrhythmia were well under control, without any server complications like acute occlu- sion and perforation in the coronary artery, pericardial tamponade or even death. Conclusion Sufficient preoperative preparation, accurate risk assessment, close attention to vital signs during surgery and predictive nursing measures are the factors to guarantee successful surgical practice in elderly AMI patients.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 风险评估 护理 

分 类 号：R473.5[医药卫生—护理学]