摘要
目的 总结综合治疗护理成功抢救1例左主干病变合并右冠闭塞并发交感电风暴患者的经验.方法 左主干病变患者除给予常规治疗护理以外，并给与左主干患者术前、术后按摩内关穴位5-10分钟，操作者用拇指指腹通过连续伸屈拇指第一指关节进行按压，以病人出现酸、麻、胀的感觉为度，同时并给予心理疏导和干预；护士为患者更换急诊介入病号服；应用急诊介入手术急救箱及急诊介入手术设施集成装置转运患者；术前给予患者AED应用；术后给予患者喝中药粥，一天两次等。结果 一例左主干病变并发交感电风暴患者成功被抢救，D-to-B时间只有28分钟，无发生多次电击引起的皮肤灼伤等。结论 综合治疗护理可以提高左主干患者的抢救成功率、减少并发症、缩短住院天数、促进心功能的恢复等。
关键词： 冠状动脉疾病；左主干病变；介入治疗
Abstract
Objective: To summarize the experience of comprehensive treatment and nursing in the successful rescue of 1 patient with left main disease complicated by right coronary occlusion complicated by sympathetic electrical storm. Methods: In addition to routine treatment and nursing care, patients with left main trunk diseases are given massage at Neiguan point for 5-10 minutes before and after operation. The operator presses the first finger joint of thumb with the thumb pulp by continuously stretching and bending, taking the patient's feeling of acid, numbness and swelling as the degree, and gives psychological counseling and intervention at the same time; Nurses change emergency intervention sick clothes for patients; Transporting patients with emergency interventional operation first aid kit and emergency interventional operation facility integrated device; Patients were given AED before operation. Patients were given Chinese medicine porridge twice a day after operation. Results: A patient with left main disease complicated by sympathetic electrical storm was successfully rescued, the D-to-B time was only 28 minutes, and no skin burns caused by repeated electric shocks occurred. Conclusion : Comprehensive treatment and nursing can improve the success rate of rescue, reduce complications, shorten hospitalization days and promote the recovery of cardiac function in patients with left main trunk.
Key words： Coronary artery disease; Left main lesion; Interventional therapy
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