1例急性下壁心肌梗死合并病态窦房结综合征高龄患者的护理  

Nursing of an octogenarian patient with acute inferior myocardial infarction combined with sick sinus syndrome

作　　者：朱冬敏 ZHU Dongmin(Department of Cardiovascular Medicine,Jiangyin School of Clinical Medicine Xuzhou Medical University,Jiangyin,Jiangsu,214400)

机构地区：[1]徐州医科大学江阴临床学院心血管内科,江苏江阴214400

出　　处：《中西医结合护理》2023年第3期194-199,共6页Chinese Journal of Integrative Nursing

摘　　要：本文总结1例急性下壁心肌梗死合并病态窦房结综合征高龄患者的治疗措施和护理经验。患者行急诊经皮冠状动脉介入治疗术后发生阿-斯综合征,行临时起搏器后植入永久心脏起搏器。护理要点包括:给予患者持续心电监护,及时发现和处理病情;术后加强肾功能监测,做好排便护理;临时起搏器植入和永久起搏器植入后的病情观察;起搏器植入健康教育,术后并发症的管理和心理护理。This paper summarized the treatment and nursing measures for an octogenarian pa⁃tient with acute inferior myocardial infarction combined with sick sinus syndrome.Patient had the Adams-Stokes syndrome after percutaneous coronary intervention,and was implanted with a per⁃manent pacemaker after emergency PCI with temporary pacemaker.Key issues of nursing includ⁃ed continuous ECG monitoring to enable timely detection and management of the condition,post⁃operative renal function monitoring,defecation care,observation of the condition after temporary pacemaker implantation and permanent pacemaker implantation,health education on pacemaker implantation,management of postoperative complications and psychological care.

关 键 词：急性心肌梗死 病态窦房结综合征 阿-斯综合征 心脏起搏器 高龄患者 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]