30例经皮冠状动脉内旋磨术的围术期护理  

Perioperative nursing care of 30 patients treated with percutaneous coronary rotational atherectomy

作　　者：药素毓[1] 马春香[1] 李琦[1] 李强[2] 

机构地区：[1]兰州大学第一医院心导管室,730000 [2]兰州大学第一医院心内科,730000

出　　处：《中华现代护理杂志》2015年第19期2293-2295,共3页Chinese Journal of Modern Nursing

摘　　要：目的：分析经皮冠脉介入治疗（PCI）术中使用冠脉旋磨术的围术期护理配合情况。方法回顾性分析2012年6月—2013年12月30例冠脉介入治疗术中使用冠脉旋磨术的病历资料。结果30例冠脉旋磨患者均为三支以上冠脉复杂病变,多伴有1~2支冠状动脉闭塞,钙化严重,X线下可见钙化影。30例中28例对前降支进行旋磨,2例进行右冠状动脉旋磨。通过冠脉旋磨术后,支架能通过钙化病变并释放。术中11例发生不同并发症,经严密监护、积极处理无死亡病例。结论冠状动脉旋磨术多用于严重钙化冠脉病变,护士需掌握旋磨的基本原理和设备器械,正确、熟练地连接旋磨设备,熟悉旋磨术中可能发生的紧急情况及并发症,做好护理配合,以确保手术顺利、安全进行。Objective To discuss the importance and methods of nursing care in patients treated with coronary rotational atherectomy combined with percutaneous coronary intervention （ PCI） . Methods Totals of 30 patients treated with coronary rotational atherectomy from June 2012 to December 2013 were retrospectively analyzed. Results All of 30 patients had multi-vessel complex coronary artery lesions, and most of them had 1 to 2 vessels with chronic total occlusion companied with severe calcification which could be seen clearly under X ray. Rotational atherectomy was performed in the left anterior descending artery among 28 patients, and in the right coronary artery between 2 patients. Stents were placed through the calcified lesions post rotational atherectomy. Under intensive nursing care, 11 patients had different complications but without any death. Conclusions Rotational atherectomy is performed in patients with severe calcified coronary lesions, which always combined with complex lesions and hard to deal with. So it is reasonable that the procedure should be performed in big heart centers and by experienced doctors. Nurses in the lab should be familiar with the operation devices and have the experience in emergency events and complications. Intensive nursing care can ensure the safety and success of the operation.

关 键 词：经皮冠状动脉旋磨术 围术期护理 护理配合 

分 类 号：R472.3[医药卫生—护理学]