老年急性心肌梗死并发非闭塞性缺血性肠病患者的护理  

Nursing care of an elderly patient with acute myocardial infarction and non-occlusive ischemic bowel disease

作　　者：杨林[1] 刘宁[1] 单晓燕 李爽 王筝 YANG Lin;LIU Ning;SHAN Xiaoyan;LI Shuang;WANG Zheng

机构地区：[1]北京市国家老年医学中心/北京医院CCU,100730 [2]北京市国家老年医学中心/北京医院康复科,100730

出　　处：《中华急危重症护理杂志》2022年第3期208-211,共4页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例老年急性心肌梗死并发非闭塞性缺血性肠病患者的护理体会。护理要点:腹胀期采用小角度翻身代替传统的翻身方法,预防压力性损伤的同时保证了患者血流动力学的稳定,又缓解患者腹胀症状;腹泻期准确记录大便量,为患者容量管理提供依据;出血期使用鼻饲加灌肠的方法在胃肠道内局部应用止血药物,使用吸痰管代替肛管进行灌肠;在加速康复过程中,以全身运动带动局部功能。通过给予针对性的护理措施,患者预后良好,于3个月后出院。The nursing experience of an elderly patient with acute myocardial infarction complicated with non-occlusive ischemic bowel disease was summarized.Small angle turming over was used instead of the traditional turming method during the period of abdominal distension,which can prevent the presure injury,relieve the symptoms of abdominal distension and ensure the hemodynamic stability of the patient.Stool volume was recorded accurately during diarrhea period to provide a basis for patient volume management.During bleeding period,nasal feeding and enema was used to apply local hemostatic drugs in the gastrointestinal tract,and the suetion tube was used instead of anal canal for enema.In the process of acelerated rehabilitation.the whole-body movement drove the local function.By giving targeted care measures,the patient had a good prognosis and was discharged after 3 months.

关 键 词：老年人 急性心肌梗塞 缺血性肠病 急症护理 

分 类 号：R473.5[医药卫生—护理学]