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目的探讨急性心肌梗死直接冠脉介入治疗术中再灌注心律失常的观察和护理方法。方法 70例再灌注心律失常患者给予充分的术前准备及密切的术中观察和配合。结果及时的发现和处理,所有发生再灌注心律失常患者均已控制,手术效果满意。结论充分的术前准备,保持通畅的静脉通路,维持血流动力学相对稳定,动脉压力图形、心率、心律变化的严密观察,是保证手术成功的重要因素。
Objective To investigate the observation and nursing of reperfusion arrhythmia during percutaneous coronary intervention in patients with acute myocardial infarction. Methods 70 patients with reperfusion arrhythmia were given adequate preoperative preparation and close intraoperative observation and coordination. The results of timely detection and treatment, all patients with reperfusion arrhythmia have been controlled, the surgical results satisfactory. Conclusions Adequate preoperative preparation, maintaining an unobstructed venous access, maintaining relatively stable hemodynamics, and closely observing arterial pressure pattern, heart rate and heart rate changes are important factors in ensuring successful operation.