简介:摘要:目的:对急性心肌梗死合并心衰患者接受临床护理干预的效果进行研究分析。 方法:我院对 60例急性心肌梗死合并心力衰竭患者进行研究分析,对患者的临床资料进行了回顾分析,比较分析患者护理前后的身体以及心理状态变化情况。 结果:对两组结果进行比较,护理后患者的心里指标比护理前均有所改善,医院使用护理干预措施能够对患者的心理状态起到积极的影响;护理前患者的护理满意度是 70%,护理后患者的满意度是 90%,护理前后的护理满意度存在统计学差异性, P<0.05,结果存在统计学意义。 结论:急性心肌梗死合并心衰患者接受护理干预能够让患者的症状缓解,发挥积极作用,临床中值得推广使用。 关键词:急性心肌梗死;心力衰竭;护理干预 Abstract: Objective: To study the effect of clinical nursing intervention on patients with acute myocardial infarction and heart failure. Methods: 60 patients with acute myocardial infarction and heart failure were studied and analyzed in our hospital. The clinical data of the patients were reviewed and compared before and after nursing. Results: compared with the results of the two groups, the psychological indicators of the patients after nursing were improved compared with those before nursing, and the use of nursing intervention measures in hospitals could have a positive impact on the psychological state of the patients; the satisfaction of the patients before nursing was 70%, the satisfaction of the patients after nursing was 90%, the satisfaction of the patients before and after nursing was statistically different, P < 0.05, the results were statistically significant Significance. Conclusion: nursing intervention for patients with acute myocardial infarction and heart failure can alleviate the symptoms of patients and play a positive role. It is worth popularizing in clinical practice.
简介:摘要1例62岁男性慢性髓细胞性白血病(慢性期)患者口服尼洛替尼400 mg、2次/d治疗。首次用药后5 h出现轻微乏力、心前区不适和胸闷,休息后缓解;当日第2次用药后1 h再次出现心前区不适、胸闷症状,休息后缓解;次日再次服用该药后1 h,前述症状复现且加重,休息后不能缓解。实验室检查示血清肌钙蛋白Ⅰ2.67 μg/L,肌红蛋白195.1 μg/L,肌酸激酶MB 37.7 μg/L;心电图检查示Ⅰ、Ⅱ、Ⅲ、aVL、aVF、V1~V6导联ST段压低>0.1 mV,T波倒置,QT/QTc 350/402 ms。诊断:急性非ST段抬高型心肌梗死,考虑与尼洛替尼有关。停用该药并予扩张血管、抗凝等治疗3周后,实验室检查示血清肌钙蛋白Ⅰ未检出,肌红蛋白21.7 μg/L,肌酸激酶MB 0.8 μg/L;心电图检查示Ⅰ、Ⅱ、Ⅲ、aVL、aVF、V1~V6导联ST段和T波恢复正常,QT/QTc 370/376 ms。
简介:摘要:急性心肌梗死心脏破裂是继泵衰竭后的第二大死亡原因。心梗后心脏急性破裂因迅速引起急性心脏压塞,在短时间死亡。而心梗后亚急性心脏破裂,因破裂的速度相对慢,经过积极治疗可延长生存时间。本研究分析 5例心梗后亚急性心脏游离壁破裂的病例,发现老年,既往无胸痛病史,首次广泛前壁心肌梗死,发病 1周内,无糖尿病史,易发生心脏破裂,应重视早期识别。内科保守治疗能明显延长生存时间,因所有病例都出现多种合并症和并发症,没能获得外科手术机会,预后仍较差。