现代医院
現代醫院
현대의원
MODERN HOSPITAL
2009年
8期
83-84
,共2页
纪文英%郑爱英%郑雪瑛%陈慎仁%杨毅华
紀文英%鄭愛英%鄭雪瑛%陳慎仁%楊毅華
기문영%정애영%정설영%진신인%양의화
糖尿病肾病终末期(ESDN)%血液透析%心肌梗死%心脏病监护(Coronary Care,CC)
糖尿病腎病終末期(ESDN)%血液透析%心肌梗死%心髒病鑑護(Coronary Care,CC)
당뇨병신병종말기(ESDN)%혈액투석%심기경사%심장병감호(Coronary Care,CC)
End stage of diabetic nephropathy (ESDN)%Hemodialysis%Myocardial infarction%Coronary care (CC)
目的 探讨糖尿病肾病终末期(ESDN)病人血液透析发生心肌梗死的好发时间及护理重点.方法 对64例ESDN 实施血液透析病人进行临床资料分析,重点总结其中5例发生心肌梗死患者的临床特点及早期心电监护、早期心脏护理的重点及效果.结果 ESDN血液透析病人发生心肌梗死的好发时间为透析过程中及透析结束后0.5～4.0 h内.在血液透析过程行心电监护及透析后心脏病监护,加强心脏护理可及时发现心肌梗死并提高抢救成功率.结论 提示对ESDN病人透析过程中及透析后应常规行心电监护及心脏护理.
目的 探討糖尿病腎病終末期(ESDN)病人血液透析髮生心肌梗死的好髮時間及護理重點.方法 對64例ESDN 實施血液透析病人進行臨床資料分析,重點總結其中5例髮生心肌梗死患者的臨床特點及早期心電鑑護、早期心髒護理的重點及效果.結果 ESDN血液透析病人髮生心肌梗死的好髮時間為透析過程中及透析結束後0.5～4.0 h內.在血液透析過程行心電鑑護及透析後心髒病鑑護,加彊心髒護理可及時髮現心肌梗死併提高搶救成功率.結論 提示對ESDN病人透析過程中及透析後應常規行心電鑑護及心髒護理.
목적 탐토당뇨병신병종말기(ESDN)병인혈액투석발생심기경사적호발시간급호리중점.방법 대64례ESDN 실시혈액투석병인진행림상자료분석,중점총결기중5례발생심기경사환자적림상특점급조기심전감호、조기심장호리적중점급효과.결과 ESDN혈액투석병인발생심기경사적호발시간위투석과정중급투석결속후0.5～4.0 h내.재혈액투석과정행심전감호급투석후심장병감호,가강심장호리가급시발현심기경사병제고창구성공솔.결론 제시대ESDN병인투석과정중급투석후응상규행심전감호급심장호리.
Objective To investigate the peak time of myocardial infarction (MI) occurring and the nursing emphasis for the hemodialysis patients with end stage of diabetic nephropathy (ESDN).Methods Analyzed the clinical data of 64 hemodialysis patients with ESDN, of which, 5 cases complicated with MI were summarized in the aspects of their clinical characteristics, the nursing emphasis and efficacy of early EKG monitoring and coronary care (CC) for them.Results The peak time of MI occurring were during hemodialysis and the first 4.0hs after it, early EKG monitoring and intensive coronary care during hemodialysis and timely CC in the first 4hs after it can discover myocardial infarction timely and thus increase the rate of rescue success.Conclusion In summary, these results suggest that early EKG monitoring and coronary care is essential to these patients undergoing hemodialysis.
