50例急性心肌梗死患者的急诊护理

Emergency nursing of 50 patients with acute myocardial infarction

目的寻找对急性心肌梗死(AMI)患者有效的急诊护理手段。方法 50例AMI患者行灌注、溶血栓治疗,于常规护理基础上依时段设置围术期及并发症等护理工作。结果经过治疗后,42例(占84%)再通;1例(占2%)抢救无效死亡;7例(占14%)出现并发症,其中,血尿2例(占4%),牙龈出血3例(占6%),皮肤黏膜出血2例(占4%)。结论急诊护士迅速抢救、有效护理的手段及流程,是配合医生提升AMI抢救成功的关键。

Objective To seek effective emergency care means for patients with acute myocardial infarction （AMI）. Meth- ods Fifty eases with AMI were taken perfusion and thrombolytic therapy, and set up the nursing care of preoperative com- plications in accordance with sections on basis of conventional nursing care. Results There were 42 cases （accounted for 84%） of reeanalization, 1 case （accounted for 2%） of death for invalid rescue; 7 cases （accounted for 14%） of complications, in which 2 cases （accounted for 4%） of hematuria, 3 cases （accounted for 6%） of gingival hemorrhage, 2 cases （accounted for 4%） of skin and mucous hemorrhage. Conclusion The means and process of rapid rescue and effective nursing of e- mergency nurse are the key to improve the success of AMI rescue matching up with doctor.