主动脉球囊反搏术治疗老年急性心肌梗死并发室间隔穿孔患者的护理

Nursing of Intra Aortic Balloon Pump Therapy Elderly Acute Myocardiac Infarction Complicated with Ventricular Septal Perforation

总结了13例急性心肌梗死并发室间隔穿孔的高危患者应用主动脉球囊反搏治疗的术后护理体会。认为对急性心肌梗死并发室间隔穿孔的高危患者,应尽早积极地应用主动脉球囊反搏术,使用期间,严密观察生命体征,正确识别报警系统的提示,快速识别各种故障并及时排除,以保证机器的有效反搏,有效预防并发症的发生。另外及早给予动态中心静脉压监测,可提示医生及时调整输液量及尽早应用利尿药,积极预防心衰的发生,同时也应注意患者的心理护理。

To Summarize the nursing experience of 13 cases of IABP therapy acute myocardial infarction complicated with Ventricular septal perforation. The application of IABP to high-risk patients of AMI complicated with ventricular septal perforation should be active and as early as possible. During the operation, closely observe the vital signs, properly identify the prompt of the alarm system, quickly identify and ruled out various faults in time, ensure the effective of machine counter-pulsation, effectively prevent the happening of the complications. In addition, giving an early dynamic central venous pressure monitoring could help the doctors to adjust infusion and apply diuresis medicine as early as possible, preventing the occurrence of heart failure actively. At the same time, the patient＇s psychological nursing should also be paid attention to.