心脏介入治疗出现严重并发症的急救护理

The emergency care for patients with severe complications after cardiac interventional therapy

目的：探讨心脏介入治疗患者出现严重并发症后的急救护理措施。方法我院2010年5月～2014年5月接诊心脏介入治疗患者2000余例，其中发生严重并发症30例，发生率约为1.50%。将这30例严重并发症患者作为研究对象，回顾性分析其临床资料，皆及时予以急救护理处理，根据患者具体的并发症类型采取对应的急救护理措施，总结急救护理效果。结果30例严重并发症包括13例反射性低血压、7例心室颤动、6例气胸、4例急性心脏压塞，予以对症急救护理措施处理后，术中护士关注度皆为100.00%，而抢救成功率除了急性心脏压塞为75.00%，其余皆为100.00%，可见抢救成功率很高。结论心脏介入治疗属于常见手术方式，严重并发症往往不能避免，为此应针对这些严重并发症予以针对性的急救护理措施处理，才能更好地帮助手术医生完善手术治疗，从而提高抢救成功率，改善患者的生存质量。

Objective To investigate the emergency care measures for patients with severe complications after cardiac interventional therapy. Methods Among more than 2,000 patients who underwent cardiac intervention from May 2010 to May 2014 in our hospital, 30 cases happened serious complications, the incidence was approximately 1.50%. And selected these 30 patients with serious complications as study subjects, and the clinical data were retrospectively analyzed. And they all were timely processed by emergency nursing treatment, the corresponding emergency measures were taken according to the type of complications in patients with serious complications, and the effect of emergency nursing was summarized. Results 30 cases of severe complications included 13 cases of reflex hypotension, 7 cases of ventricular fibrillation, 6 cases of pneumothorax, 4 cases of acute cardiac tamponade. After all the patients underwent symptomatic emergency nursing treatment, the nurse attention were 100.00%. The success rate in addition to acute cardiac tamponade was 75.00%, the rest were 100.00%,it was shown that the success rate was vey high. Conclusion Cardiac interventional therapy is a common operation mode, the serious complications often can not be avoided, so we should take appropriate treatment and nursing measures in the light of these serious complications, and so can help doctors to improve operation treatment, to improve the success rate, and to improve the quality of life of patients.