专科护理在慢性高原性心脏病伴肺动脉栓塞患者中的应用

Application of Special Nursing in Patients with Chronic Altitude Cardiac Disease Complicated with Pulmonary Embolism

目的探讨专科护理对慢性高原性心脏病伴肺动脉栓塞患者的体会。方法选取在我院确诊并接受治疗的慢性高原性心脏病伴肺动脉栓塞患者14例,采取专科护理后观察临床效果。结果本组患者中好转11例(78.57%),其中心功能由Ⅲ级转Ⅱ级者6例,由Ⅳ级转Ⅲ级3例,维持在Ⅲ级者2例;无效2例(14.29%);死亡1例(7.14%)。结论对慢性高原性心脏病伴肺动脉栓塞进行有效的专科护理,可以改善患者预后,降低死亡率。

Objective： To investigate the application of special nursingin patients with chronic altitude cardiac disease complicated with pulmonary embolism. Methods： Totally, 14 patients with chronic altitude cardiac disease complicated with pulmonary embolism were admitted and treated in our hospital, and they were given special nursing. The treatment results were compared between the two groups. Results： After special nursing, there were improvements in 11 patients（78.57%）, which including that 6 patients with NYHA class Ⅱ（before nursing NYHA class Ⅲ）, 3 patients with NYHA class Ⅲ（before nursing NYHA class Ⅳ）, 2 patients with NYHA class Ⅲ（before nursing NYHA class Ⅲ）. Meanwhile, 2 cases turned better（14.29%）, 1 case failed（7.14%）. Conclusions： Special nursing is a good way to improve the prognosis of patients with chronic altitude cardiac disease complicated with pulmonary embolism, and to reduce the mortality.