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急性心肌梗塞(AMI)对病人生命的威胁,主要由三种致命的合并症(心律紊乱、急性心力衰竭和心源性休克)所致。近十多年来,强调了对冠心监护室的医护人员进行专科训练,使谙熟心血管药物的使用和副作用。熟练操作除颤器等先进的电子设备以严密观察病人各项生命指标,及时正确处理各种合并症,使急性期病死率从30％以上降低到15％。冠心监护室的工作应每日预先拟订出治疗方案,这有助于提高疗效,不致于在病情突变时犹豫不决。应鼓励护士在医师未到之前自己能独立思考,作出相应处理,以提高抢救成功率。一、无合并症的AMI对护理的要求对无合并症的AMI的处理应该是积极主
The threat to the patient’s life from acute myocardial infarction (AMI) is caused mainly by three fatal comorbidities (arrhythmia, acute heart failure, and cardiogenic shock). In the past decade or so, the emphasis has been placed on carrying out specialist training of healthcare workers in coronary heart care units so that they are familiar with the use and side effects of cardiovascular drugs. Proficiency in defibrillators and other advanced electronic equipment to closely observe the patient’s life indicators, promptly and properly handle a variety of comorbidities, the acute case fatality rate from 30% to 15%. Coronary Care Unit work should be prepared daily pre-treatment programs, which will help to improve the efficacy, not in the event of sudden changes in hesitancy. Nurses should be encouraged before the physician can independently think about themselves, make the appropriate treatment to improve the success rate of rescue. First, the non-comorbid AMI requirements for care AMI without complications should be active