急性心肌梗死合并心源性休克患者行主动脉内球囊反搏辅助循环治疗的护理

Nursing of acute myocardial infarction patients complicated with cardiogenic shock undergoing circulation therapy assisted with intra-aortic balloon counterpulsation

目的总结急性心肌梗死合并心源性休克患者行主动脉内球囊反搏(Intra-Aortic Balloon Pump,IABP)辅助循环治疗的护理经验。方法对某院急诊科收治的9例急性心肌梗死合并心源性休克患者行IABP辅助循环治疗,在确保IABP有效运行的同时做好病情监护与观察、并发症的预防与护理、心理护理等护理措施。结果9例患者IABP治疗持续2~7d,期间血压、心率升高,24h尿量增加,其中6例患者行经皮冠状动脉介入术;3例行冠状搭桥术,9例患者均顺利出院。结论在确保IABP有效运行的同时做好积极有效的护理措施,对提高急性心肌梗死合并心源性休克行IABP辅助循环治疗成功率和降低并发症发生具有积极的意义。

Objective To explore the effect of circulation therapy assisted with intra-aortic balloon counterpulsation (IABP) for patients with acute myocardial infarction complicated with cardiogenic shock and explore the care experience. Methods A number of 9 patients with acute myocardial infarction complicated with cardiogenic shock were treated with IABP in emergency department of our hospital. When the effective operation of IABP were ensured,nursing measures such as condition monitoring and observation,prevention and nursing of complications and psychological nursing were taken. Result IABP treatment lasted 2 to 7 days,blood pressure and heart rate grew increased,24 hours urine volume was increased,and the dosage of active drugs like dopamine was lowered. Three of them underwent revascularization and nine of them were discharge. Conclusion IABP together with close observation and monitoring ,prevention from complications,and psychological nursing to the patients with acute myocardial infarction combined with cardiogenic shock can improve the success rate of treatment and reduce the rate of complications.