目的 探讨急性心肌梗死(AMI)患者静脉溶栓的护理措施.方法 对2009年1月-2010年1月间在我院接受静脉溶栓治疗的AMI患者40例给予系统的护理措施.结果 本组恢复再通36例,再通率达90.00%.溶栓过程中发生再灌注性心律失常30例,占再通者的83.33%,其中短阵室性心动过速18例,心房颤动10例,严重心动过缓8例,房室传导阻滞4例.出现不良反应3例,其中皮肤粘膜出血2例,荨麻疹1例.结论 系统的护理措施是AMI患者顺利实施静脉溶栓的保障.%Objective To investigate the nursing care of patients with acute myocardial infarction ( AMI ) undergoing intravenous thrombolysis. Results Systemic nursing care was performed on 40 patients with AMI who had received intravenous thrombolysis during the period of January 2009 to January 2010 in our hospital. 36 of the 40 patients (90%) had recanalization; while 30 pateints (83.33%) occurred reperfusion arrhythmia during the process of thrombolysis, 18 of whom were ventricular tachycardia, 10 were atrial fibrillation, 8 were severe bradycardia, and 4 were atrioventricular block. Adverse reactions developed in 3 patients; 2 had skin mucosal bleeding and one had urticaria. Conclusions The systemic care ensures the successful practice of intravenous thrombolysis in patients with acute myocardial infarction.
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