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目的探讨急性心肌梗死(AMI)患者行急诊经皮冠状动脉介入治疗(PCI)并且应用盐酸替罗非班的护理救治效果。方法对曲阜市人民医院行急诊PCI的AMI患者38例,应用盐酸替罗非班注射液微泵输液,对其救治效果及并发症进行回顾性分析。结果 38例AMI患者均救治成功,其中有8例在PCI术前经应用盐酸替罗非班梗阻的罪犯血管出现线性血流,患者胸痛症状明显缓解,5例患者出现桡动脉穿刺处及以上出现血肿,2例出现粪便常规阳性。结论对AMI患者及时足量应用盐酸替罗非班能部分开通罪犯血管,提高PCI安全性,严密观察出血征象,及时采取有效护理救治措施,可显著降低出血事件的发生。
Objective To investigate the effect of emergency percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) treated with tirofiban hydrochloride. Methods Thirty-eight patients with acute myocardial infarction (AMI) undergoing PCI in Qufu People’s Hospital were treated with micro-pump infusion of tirofiban hydrochloride injection. The therapeutic effect and complications were retrospectively analyzed. Results All 38 patients with AMI were successfully treated. Among them, 8 patients had linear blood flow of criminals obstructed by tirofibur in the preoperative PCI, and the symptoms of chest pain were relieved. Radial artery puncture and above occurred in 5 patients Hematoma, 2 cases of stool routine positive. Conclusion The timely and adequate application of tirofiban hydrochloride in AMI patients can partially open the criminals’ blood vessels, improve the safety of PCI, closely observe the signs of bleeding, and timely and effective care and treatment measures can significantly reduce the occurrence of bleeding events.