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目的探讨急性心肌梗死合并心力衰竭患者应用左西孟旦的治疗效果并总结护理经验。方法对26例急性心肌梗死合并心力衰竭患者应用左西孟旦并对治疗期间的用药护理、病情观察和不良反应的观察进行分析和总结。结果 26例患者中25例病情好转出院,1例患者病情恶化死亡,3例患者发生低血压,3例患者发生心律失常,2例患者出现头痛。结论左西孟旦可明显改善急性心肌梗死合并心力衰竭患者的预后,用药期间应严密监护,预防不良反应,保证患者安全。
Objective To investigate the therapeutic effect of levosimendan in patients with acute myocardial infarction complicated with heart failure and to summarize nursing experience. Methods Twenty-six patients with acute myocardial infarction complicated with heart failure were treated with levosimendan. The medication care, the observation of the disease and the adverse reactions during the treatment were analyzed and summarized. Results Out of 26 patients, 25 patients got better and discharged, one patient died of deterioration, 3 patients developed hypotension, 3 patients developed arrhythmia, and 2 patients had headache. Conclusion Levosimendan can significantly improve the prognosis of patients with acute myocardial infarction complicated by heart failure. During the medication, intensive care should be taken to prevent adverse reactions and ensure patient safety.