摘要
目的总结冠状动脉介入治疗中经皮冠状动脉内旋磨术(PTCRA)的护理体会。方法 8例患者行PTCRA,术前给予心理护理及完善的术前准备,术中密切观察患者生命体征,术后加强监护、穿刺部位加压包扎、加强制动期间护理。结果本组8例患者均顺利完成手术,造影检查效果良好,与球囊扩张支架植入联合治疗冠状动脉病变,未发生严重并发症。其中6例患者在旋磨过程中发生一过性的冠状动脉血流受阻,经及时处理后症状快速消失;1例于旋磨后拔除导管、固定管鞘时,发生室颤,给予除颤和药物注射后恢复。结论 PTCRA手术操作精密,可能发生术中意外及术后不良反应,良好的护理配合是患者的手术安全的重要保障。
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
作者
李爱华
LI Aihua(Department of Cardiology,Xuzhou Central Hospital,Xuzhou,Jiangsu,221009)
出处
《中西医结合护理（中英文）》
2018年第6期143-145,共3页
Journal of Clinical Nursing in Practice
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
coronary artery
percutaneous coronary rotational atherectomy
percutaneous transluminal coronary angioplasty
nursing cooperation
myocardial infarction
angina
