野战微创介入救治方舱内行经皮冠状动脉介入术的护理  

Nursing experience during percutaneous coronary intervention within shelter of field minimally invasive intervention

作　　者：李菲[1] 孙景阳[1] 梁明[1] 荣晶晶[1] 韩雅玲[1] 

机构地区：[1]沈阳军区总医院心血管内科,沈阳110016

出　　处：《中国循证心血管医学杂志》2015年第1期32-34,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：全军"十一五"专项课题(08Z001);全军"十二五"重点课题(BWS12J006);辽宁省科技攻关课题(2011225006)

摘　　要：目的探讨野外复杂环境下在野战微创介入救治方舱（简称方舱）内行经皮冠状动脉介入术的护理方法。方法 2012年4月至9月在辽宁省岫岩县、凌源市两个地区医院在方舱内完成经皮冠状动脉介入手术17例,均经桡动脉途径,其中男性11例,女性6例,年龄54~82（61.14±10.61）岁。总结术前、术中和术后的护理方法和对策。结果 9例冠状动脉造影患者术后24 h出院,5例冠状动脉支架置入术患者术后72 h出院,3例急诊手术患者1周后出院,术后局部伤口均无感染发生。结论在方舱内行经皮冠状动脉介入术,合理有效的护理方法促进手术成功。Objective To discuss the nursing methods during percutaneous coronary intervention （PCI） within shelter of field minimally invasive intervention in complicated field condition. Methods The patients [n=17, male 11, female 6 and aged from 54 to 82 （61.14 ± 10.61）] with PCI within shelter of field minimally invasive intervention were chosen from Apr. 2012 to Sept. 2012. The nursing methods and countermeasures were summed up before, during and after PCI. Results There were 9 cases with coronary angiography discharged from hospital 24 h after PCI, 5 with intracoronary stent implantation discharged 72 h after PCI, and 1 with emergency surgery discharged 1 w after PCI. There was no one with local wound infection after PCI. Conclusion The reasonable and effective nursing methods can improve the success rate of PCI within shelter of field minimally invasive intervention.

关 键 词：野战微创介入 经皮冠状动脉介入术 护理 

分 类 号：R816.2[医药卫生—放射医学]