经桡动脉行冠状动脉介入诊疗的相关护理

The nursing care of the coronary intervention treatment by the radial lines

目的:回顾分析我院心内科自2007年8月至2009年12月间443例患者经桡动脉穿刺行冠状动脉介入检查及治疗的相关护理。方法:术前给予细致的心理护理;术中密切观察病情,做好应急处理;术后观察末梢血液循环,穿刺处有无渗血、血肿等情况,积极防治术中和术后并发症。结果:8例术中出现桡动脉痉挛,29例术中出现急性心肌缺血;36例术后出现局部血肿,2例加压止血后局部出现水泡,23例急诊PC I在开通IRA时出现心前区疼痛。结论:充分做好术前准备和健康教育,加强术中、术后的护理,不断积累相关护理经验,减少并发症的发生,从而提高了经桡动脉行冠脉介入手术疗效,确保患者尽早康复。

Objective：Review the 443 patients＇s nursing care of the coronary intervention treatment by the radial lines frome August 2007 to December 2009 in Hongli Hospital. Methods： psychological nursing of Preoperative, observe condition in Intraoperative closely , and completes the emergency treatment, observation peripheral blood circulation, Puncture site without ooze blood, hematoma etc in postoperative , control intraoperative and postoperative complications positively, The hospital. Results： 8 cases appeared superficial spasm in intraoperatie , 29 cases appeared acute myocardial ischemia, 36 cases appeared postoperative hematomas local,Two cases appeared appear blisters after pressure , 23 cases occurs the heart pain when the IRA PCI open. Conclusions： Fully well preoperation and health education, Strengthen the postoperative nursing, Accumulate the nursing experience, Decrease complications, To improve the therapeutic of the coronary intervention treatment by the radial , Ensure patients recover soon.