中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
4期
32-33
,共2页
冠脉介入%心脏压塞%急救护理
冠脈介入%心髒壓塞%急救護理
관맥개입%심장압새%급구호리
Coronary intervention%Cardiac tamponade%Emergency care
目的：探讨并分析冠状动脉介入治疗术并发心脏压塞的急救方法及护理措施。方法选取我院2010年4月~2014年9月期间接受冠脉介入治疗并发心脏压塞的5例患者，对其治疗结果进行研究和分析，总结抢救方法及护理措施。结果5例患者经过积极有效抢救及护理，均痊愈出院。结论术前充分的应急准备及急救预案是抢救成功的前提；中术术后密切病情观察，及时准确的科学判断是抢救成功的关键；大量快速的补充血容量及升压、抗肝素治疗，及时的心包穿刺减压是心脏压塞有效的急救方法；娴熟的急救技能和各项急救护理措施的落实是促进心脏压塞患者良好转归的重要保证。
目的：探討併分析冠狀動脈介入治療術併髮心髒壓塞的急救方法及護理措施。方法選取我院2010年4月~2014年9月期間接受冠脈介入治療併髮心髒壓塞的5例患者，對其治療結果進行研究和分析，總結搶救方法及護理措施。結果5例患者經過積極有效搶救及護理，均痊愈齣院。結論術前充分的應急準備及急救預案是搶救成功的前提；中術術後密切病情觀察，及時準確的科學判斷是搶救成功的關鍵；大量快速的補充血容量及升壓、抗肝素治療，及時的心包穿刺減壓是心髒壓塞有效的急救方法；嫻熟的急救技能和各項急救護理措施的落實是促進心髒壓塞患者良好轉歸的重要保證。
목적：탐토병분석관상동맥개입치료술병발심장압새적급구방법급호리조시。방법선취아원2010년4월~2014년9월기간접수관맥개입치료병발심장압새적5례환자，대기치료결과진행연구화분석，총결창구방법급호리조시。결과5례환자경과적겁유효창구급호리，균전유출원。결론술전충분적응급준비급급구예안시창구성공적전제；중술술후밀절병정관찰，급시준학적과학판단시창구성공적관건；대량쾌속적보충혈용량급승압、항간소치료，급시적심포천자감압시심장압새유효적급구방법；한숙적급구기능화각항급구호리조시적락실시촉진심장압새환자량호전귀적중요보증。
Objective To study and analyze the coronary artery intervention treatment technique of complicated with cardiac tamponade first aid method and nursing measures. Methods From April 2010 to September 2014 during coronary interventional therapy in 5 patients complicated with cardiac tamponade, to study the treatment result and analysis, summarizes the rescue methods and nursing measures. Results 5 patients through positive and ef ective rescue and care, hospital were recovered. Conclusion Preoperative suf icient emergency preparedness and emergency plans is the precondition of successful rescue; In postoperative close observation, timely and accurate scientific judgment is critical to the success of the rescue; Large amounts of quickly added blood volume and pressure, resist heparin therapy, timely pericardium puncture decompression is cardiac tamponade and ef ective emergency measures; Skil ed first aid skil and implement of first aid measures are the important guarantee of promoting good outcome in patients with cardiac tamponade.
