急性心肌梗死溶栓合并严重血小板减少出血倾向患者护理方法探讨.pdfVIP

报道·悔森拚嗯 Westem }ou rrw1 01 Traditional Chinese Medici肘， 2015 Vol. 28 No.9 嚣脏JRI Il醺噩噩程SH 严重阻IJ\顺跚坐出血阳回噩噩扣理自活嚣i司 史玛诺，冯珊珊 北京积水潭医院心内科，北京 100035 [摘 要]目的:探讨急性心肌梗死溶栓合并严重血小板减少出血倾向患者的护理方法.方法:将急性心 肌梗死溶栓合并严重血小板减少出血倾向患者 80 例分为 2 组，对照纽采用常规护理，观察组在此基础上针对 血小板减少出血倾向进行护理，观察2 纽患者发生特殊部位出血情况、护理干预前后血小板计数变化以及救 治成功率。结果:观察纽患者出现颅内出血、消化道出血、椎管内出血以及皮肤出血的比率显著低于对照纽 (P o. 0日，千预后观察组血小板计数显著高于对照纽(P O. 0日，观察组存活率高于对照组(户0.05). 结论:对 于急性心肌梗死实施溶栓治疗者，积极监测患者血小板变化，提高护理重视程度，能显著提高治疗效果. [关键词]急性心肌梗死;溶栓;血小板减少;护理 [中图分类号] R733. 7 [文献标识码] B [文章编号] 1004-6852(2015)09-0122-04 The Nursing Methods of the Patients Undergoing Thrombolysis in Acute Myocardial Infarction Complicated with Bleeding Tendency in Severe Thrombocytopenia SHI Manω， FENG Shanshan Cardiology Department 01 Beijing }ishuitan Hospi时 Beijing 1ω035， China Ab翩翩:t Objective: TO explOre the nursing methOds O f the patients suffering 企om 也rOmbOlysis in acute my- Ocardial infarctiOn cOmplicated with bleeding tendency in severe thrOmbOcytOpenia. MethOds: Eighty patients were randOmized into twO grOUPS，址le cOntrOl grOUP adOpted routine nursing and the ObservatiOn group nursing accOrding tO bleeding tendency in severe 也rOmbOcytOpenia， tO observe bleeding cOnditiOns O f special parts , platelet cOunting changes befOre and after nursing intervention and rescuing success rate. Results: Tbe ObservatiOn grOUP was lOwer than the cOn仕01 grOUP in the incidences O f in位llcranial hemorrhage , gastrOintestinal bleeding, in位avertebral bleeding and dermatOrrhagia significantly (PO.O到， hiβer than the cOntrOl grOUP in pla能let cOunting after the interventiOn (户0.05)， and survival rates (P0.05). COnclusion: MOnitOrin