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[摘要] 目的:探讨急性心肌梗死(AMI)的护理效果和经验。方法:对2009年6～12月在本院住院治疗的急性心肌梗死患者35例进行前瞻性分析,总结护理效果和经验。结果:本组患者住院5～28 d,平均住院(10.50±2.22) d。临床治愈19例(54.28%),好转12例(34.28%),死亡4例(11.42%)。死亡原因为恶性心律失常2例(5.71%),左心衰竭1例(2.86%),心室壁穿孔1例(2.86%)。结论:完善的护理措施能帮助急性心肌梗死患者度过危险期,并促进患者的康复。
[关键词] 急性心肌梗死;护理;康复
[中图分类号] R473 [文献标识码]C [文章编号]1674-4721(2010)05(a)-126-02
Clinical nursing research on acute myocardial infarction
HE Qiujuan,CHEN Lan,LIAO Shaomei
(The Peope′s Hospital of Dianbai Country, Guangdong Province,Dianbai 525400,China)
[Abstract] Objective:To investigate the nursing effects and experiences of acute myocardial infarction. Methods:The 35 cases with acute myocardial infarction in our hospital from June in 2009 to December were analyzed prospectively. Results :The hospital days was from 5 to 28 days,and the average hospital days was (10.50±2.22) days. There were 19 cases(54.28%)recovery after treatment,12 cases(34.28%)with take a favorable turn and 4 cases(11.42%)with death. And there were 2 cases(5.71%) died of m alignant arrhythmia,1 cases (2.86%)died ofleft heart failure and 1 cases (2.86%) died of ventricular wall perforate. Conclusion:The complete nursing intervention can help patients to live through crises and prompt the rehabilitation.
[Key words] Acute myocardial infarction;Nursing; Rehabilitation
急性心肌梗死(AMI)是急诊室常见急症之一,是由于缺血而造成的心肌坏死的一种心脏病,具有病情凶险、发病率高、死亡率高的特点。除了临床常规治疗外,整体护理在急性心肌梗死患者的转归中也起着决定作用。笔者于2009年6～12月对在本院诊疗的急性心肌梗死患者35例进行护理研究,现报道如下:
1 资料与方法
1.1 一般资料
选取2009年6～12月在本院住院的急性心肌梗死患者35例,所有患者均符合WHO的心肌梗死诊断标准,并具备下列条件:严重胸闷,持续性心肌缺血性疼痛>30 min,服用硝酸甘油不能缓解;心电图至少有2个相邻导联ST段抬高>0.1 mV,或胸导联抬高>0.2 mV;发病时间为6～12 h;年龄
