老年不稳定型心绞痛患者的监护要点

Monitoring of unstable angina in the elderly

系统监护了老年UAP64例。结果发现,住院期间ST段抬高率为33％,ST段降低率为67％,高度房室传导阻滞发生率为13％;室速率为19％;房颤率为3％;AMI为13％;死亡率为8％;其心脏并发症及死亡率显著低于文献报道值。经验是1.密切观察心绞痛症状;2.严密监护心电图变化包括心率、心律变化,ST段及R波改变;3.血压变化;4.心功能改变;5.心肌酶谱变化;6.出凝血及抗凝血监测;7.6—酮—PGF_1_a及VWF监测,及时准确地综合护理是提高抢救成功率、减少并发症和改善预后的关键。

During ambulatory monitoring of 64 elder impatients with unstable angina, there were lower incidencess S-T segment elevation (33%) and its depression ( 67% ), high atrioventricular block (13%), ventricular tachycardia (19%), artrial fibrillation (3%), acute myocardial infarction (13%), and mortality (8%) than that of documental statements. As for the successful rescuing, reducing complications, improving prognosis, the keys include that close observation, careful monitoring of the changes such as heart rate and rhythm, S - T segments and R waves of ECG, blood pressure, myocardial enzymes, bleeding - coagulation and anti - coagulation, 6 - keto - PGFla and VMF; as well as all -around prompt standard nursing care.