溶栓治疗急性心肌梗死96例护理体会

Experience of Nursing of 96 Cases of Streptokinase Therapy for Acute Miocardial Infarction

目的：探讨溶栓治疗急性心肌梗死（AMI）的护理，提高临床治疗效果。方法：对我院近5年96例AMI接受溶栓治疗者进行整理、归纳、统计、分析。结果：溶栓后临床再通84例（87．5％），未通12例（12．5％），其中68例临床判断再通者冠状动脉造影显示TIMI血流≤1级者2例（2．9％），血流≥2级者66例（97．1％），且此68例患者中9例（13．2％）患者管腔轻度狭窄，2例（2．9％）无明显狭窄。12例临床判断未通者冠状动脉造影显示TIMI血流≤1级者12例（100％），血流≥2级者为0。溶栓中发生不良反应5例（5．2％）。结论：溶栓治疗AMI疗效显著，而溶栓治疗之护理对挽救病员生命，提高生活质量有重要意义，在无冠状动脉造影的条件下，临床判断指标仍然是判定冠状动脉再通的有效指征。

Objective To explore the nursing of Streptokinase Therapy for Acute Miocardial Infarction （AMI） and improve the clinical treatment efficacy. Methods Generalize, summarize, count up and analyze the nursing of 96 cases of Streptokinase Therapy for Acute Miocardial Infarction of our hospital in last 5 years. Results 84（87.5% ） got through clinically and 12（ 12. 5% ）failed. Among 68 who got through clinically,2（2.9% ）showed their TIMI bloodstream≤ 1 at CGA and 66（97.1% ）≥2. 9 （ 13.2% ）. Among the 68,9 showed light coronarius lumen hemadostenosis and 2 （2.9%） didnt. All of the 12 who didnt get through clinically showed their TIMI bloodstream ≤ 1 at CGA. 595.2% ） had adverse reaction during the Streptokinase Therapy. Conclusion Streptokinase Therapy works effectively while the nursing is essential to save lives and improve the living quality. It＇s available to diagnose according clinical symptom when CGA isnt feasible.