80例急性心肌梗死患者心电监护及护理

80 cases Acute myocardial Infarction ECG Monitoring and Nursing

目的总结急性心肌梗死患者心电监护及护理经验。方法对本院性心肌梗死患者及时进行心电监护,对出现的心律失常者进行对症处理。结果本组80例患者中出现心律失常55例,其中室性心律失常48例,临床治愈45例;出现心室颤动7例,4例及时电复律转为窦性心律,3例抢救无效死亡。本组心律失常均发生在心肌梗死后1周内,尤其是发病24小时内,出现最多。结论心律失常是心肌梗死患者常见的并发症,也是患者死亡的主要原因,持续心电监护对患者心律失常的及时发现、明确诊断、指导抢救有重要意义。

Objective To summarize the ECG monitoring in patients with acute myocardial infarction and nursing experience.Methods The hospital in patients with myocardial infarction in ECG monitoring,the appearance of cardiac arrhythmia were symptomatic treatment.Results This group of 80 patients in 55 cases of arrhythmia,including 48 cases of ventricular arrhythmias,clinical cure in 45 cases;appearance of ventricular fibrillation in 7 patients,4 cases of timely electrical cardioversion to sinus rhythm,3 patient died.This group of arrhythmias occurred in 1 weeks after myocardial infarction,especially within 24 hours of symptom onset,most.Conclusion The arrhythmia is a common complication in patients with myocardial infarction,is the leading cause of death,continuous ECG monitoring in patients with arrhythmia timely detection,diagnosis,to direct the rescue has important significance.