急诊抢救室胸痛患者致命性胸痛的危险因素调查分析及护理措施探讨

探讨急诊抢救室胸痛患者致命性胸痛的危险因素调查分析及护理措施。方法 回顾性选取2018年5月-2020年8月我院收治的126例急诊抢救室胸痛患者为研究对象,采用自制调查表对患者的一般资料进行收集,以单因素、多因素回归分析法对急诊抢救室胸痛患者致命性胸痛的影响因素进行分析,并提出针对性护理对策。结果 通过对126例急诊抢救室胸痛患者致命性胸痛现状进行调查,结果显示,致命性胸痛患者为35例(27.78%),其中急性冠脉综合征患者为27例(21.43%),主动脉夹层患者为2例(1.59%),急性肺动脉栓塞患者为3例(2.38%),自发性气胸患者为3例(2.38%);单因素分析结果显示,年龄、合并基础疾病、院前心脏骤停、胸痛就诊时间、舒张压、血浆N末端脑钠肽、心肌肌钙蛋白、肌酐、静息心率均为急诊抢救室胸痛患者致命性胸痛的影响因素(P<0.05);多因素回归分析结果显示,静息心率、舒张压、胸痛就诊时间均为急诊抢救室胸痛患者致命性胸痛的独立危险因素(P<0.05)。结论 静息心率、舒张压、胸痛就诊时间均为急诊抢救室胸痛患者致命性胸痛的独立危险因素,临床应根据以上因素提出针对性抢救护理措施,控制致命性胸痛患者病情,降低其致命危险程度,提升其抢救成功率。

127例电击伤患者的急救护理和调查分析

电击伤俗称触电，系超过一定极量的电流通过人体后引起机体损伤和功能障碍，重者可以导致患者呼吸心跳骤停而死亡。高电压还可引起电热灼伤。并且，电击伤患者早期疼痛所致的烦躁、焦虑，后期的恐残惧死心理，某些截肢术后因为肢体的残缺畸形，给生活、工作、家庭带来一系列的负面后果都使患者情绪悲观。

Risk factors for rebleeding after angiographically negative acute gastrointestinal bleeding

AIM:To identify possible predictive factors for rebleeding after angiographically negative findings in patients with acute non-variceal gastrointestinal bleeding.METHODS: From January 2000 to July 2007, 128 patients with acute non-variceal gastrointestinal bleeding had negative f indings after initial angiography. Clinical and laboratory parameters were analyzed retrospectively.RESULTS: Among 128 patients, 62 had no recurrent gastrointestinal bleeding and 66 had recurrent gastrointestinal bleeding within 30 d. As determined by the use of multivariate analysis, an underlying malignancy, liver cirrhosis and hematemesis were significant factors related to recurrent gastrointestinal bleeding.CONCLUSION: Clinical factors including underlying malignancy, liver cirrhosis, and hematemesis are important predictors for rebleeding after angiographically negative findings in patients with acute non-variceal gastrointestinal bleeding.