冠状动脉介入治疗中经皮冠状动脉内旋磨术的护理体会

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

李爱华¹ 

关键词: 冠状动脉;    经皮冠状动脉内旋术;    经皮冠状动脉腔内成形术;    护理配合;    心肌梗死;    心绞痛;   

DOI  :  10.11997/nitcwm.201806043

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To summarize the nursing management in percutaneous coronary intervention(PCI)using percutaneous coronary rotational atherectomy(PTCRA). Methods 〓This study retrospectively analyzed the clinical data of 8 patients with PTCRA. Nurses carried out postoperative psychological care and enhanced monitoring on vital signs during operation. After surgery, patients received intensive interventions such as pressure bandage for puncture site and postoperative immobilization. Results 〓All operations were successfully completed, with no severe complications occurred. There were 6 patients with transient coronary blockage during rotational atherectomy, and 1 patient with ventricular fibrillation during catheter withdrawing. Conclusion 〓PTCRA as a delicate surgery may cause intraoperative accidents and severe postoperative complications. It is required to carried out high-quality nursing cooperation in order to ensure the safety of patients.

【 授权许可】

CC BY-NC