急诊经皮冠状动脉介入治疗突发心搏骤停患者的急救护理  

Emergency nursing care of acute myocardial infarction patients with sudden cardiac arrest during coronary intervention

作　　者：王雪萍 叶卫国[1] 曾小康[1] 钟瑾泽 张德宝 吴佩佩 夏柳勤[1] WANG Xueping;YE Weiguo;ZENG Xiaokang;ZHONG Jinze;ZHANG Debao;WU Peipei;XIA Liuqin

机构地区：[1]杭州市第一人民医院重症医学科,310006 [2]杭州市第一人民医院急诊科,310006 [3]杭州市第一人民医院心内科导管室,310006

出　　处：《中华急危重症护理杂志》2023年第7期628-631,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：杭州市医学重点学科建设基金(OO20200485);杭州市卫生科技计划一般(A)类项目(A20220636)

摘　　要：总结13例急性心肌梗死患者急诊经皮冠状动脉介入治疗过程中突发心搏骤停的急救护理经验。针对患者病情进展快、反复心搏骤停、循环不稳定等特点,采取严密病情监测、早期识别心搏骤停先兆表现、快速实施高质量心肺复苏;启动院内应急反应系统、多学科急救团队协作联合行高级生命支持治疗;配合医生快速建立体外膜肺氧合治疗;注重院内安全转运与有效交接等护理措施。13例患者中8例病情好转出院,3例放弃治疗出院,2例死亡。To summarize the emergency nursing experience of sudden cardiac arrest in 13 patients with acute myocardial infarction during emergency percutaneous coronary intervention.According to the characteristics of patients such as rapid disease progression,repeated cardiac arrest,unstable circulation and etc.,strict disease monitoring,early recognition of the symptoms of cardiac arrest,and rapid implementation of high-quality cardiopulmonary resuscitation were adopted.The nurses initiated the hospital emergency response system,multidisciplinary emergency team was set to carry out advanced life support treatment,and cooperated with doctors to quickly build extracorporeal membrane oxygenation therapy.We also paid attention to nursing measures such as safe transfer and effective handover in the hospital.Among the 13 patients,8 were discharged after condition was improved,3 gave up treatment and 2 died.

关 键 词：心肌梗死 经皮冠状动脉介入治疗 心搏骤停 体外膜肺氧合 急症护理 

分 类 号：R473.5[医药卫生—护理学]