不稳定型心绞痛的护理体会

Nursing experience about unstable angina,

目的 :总结预防急性心肌梗死及猝死的护理体会。方法 :对 5 12例不稳定型心绞痛患者进行护理。结果 :2 73例心绞痛缓解后接受选择性冠状动脉造影术 ,78例用PTCA及支架植入术治疗 ,余 16 1例中 13例发生Q波型心梗 ,6例发生非Q波型心梗 ,2例猝死 ,12例接受外科搭桥术治疗。结论 :对心绞痛疼痛性质、心电图变化及心肌酶谱改变的准确观察是预防并发症的关键 ,绝对卧床休息及对治疗后出血倾向的观察是护理的重点 。

Objective:To conclude about nursing experience of prophylaxis of acute myocardial infarction(AMI) and sudden death Method:Analyze nursing experience of 512 cases unstable angina patients Result:273 cases angina all relieved,78 cases received PTCA and holder implantation only 13 cases occared Q wave AMI,6 cases suffered from non Q wave AMI;2 cases suddenly died;12 cases accepted bypath operation Conclusion:Its important to observate pathological reason and type of angina,ECG change and change of myocardial enzyme spectrum,prevent onset of any complications,for example,hemorrahgic tendency,complications after interventional therapy,put forward health education