摘要
目的：探讨老年急性心肌梗死尿激酶溶栓治疗的疗效及护理方法。方法：将56例老年急性心肌梗死患者入院后给予尿激酶100～150万U加入生理盐水100ml，静脉滴注，30min内滴完。溶栓12h后，根据情况给予低分子肝素钙0．4ml，皮下注射，2次／d，连用5—7d。治疗期间密切观察病情并加强护理。结果：56例中血管再通39例，再通率69．64％。其中，发病2h内溶栓13例，再通13例（100％）；2～6h内溶栓29例，再通20例（68．97％）；6～12h内溶栓14例，再通6例（42．86％）；死亡6例，病死率10．71％。结论：尿激酶溶栓治疗老年急性心肌梗死安全有效．加强护理可提高疗效。
Objective： To explore the effectiveness of urokinase thrombolytic therapy for AMI in the aged patients and nursing methods. Methods ： Fifty six aged patients with AMI were treated with intravenous drip of urokinase （ 1 - 1.5 million unit in 100ml normal saline, finished within 30 min. ）. Hypodermic injection of 0.4ml low - molecular heparin calcium was given to the patients after thrombolytic therapy for 12 hours, 2 times per day and last 5 -7days. Close observation of patient＇ s condition and enhanced nursing care were conducted in the duration of treatment. Results： 39 patients out of 56 patients had repassage of vessels and the repassage rate was 69.64%. 13 patients received thrombolytie therapy within 2 hours when they had an attack and the repassage rate was 100% ; 29 patients were treated in 2 -6 hours and the repassage rate was 68.97% ; 14 patients were treated in 6 - 12 hours and the repassage rate was 42.82% ; 6 patients died and the fatality rate was 10.71%. Conclusion： Urokinase thrombolytic therapy is safe and effective in the treatment of AMI in aged patients and the effectiveness can be increased if the careful nursing care is provided.
出处
《齐鲁护理杂志》
2008年第11期3-4,共2页
Journal of Qilu Nursing
