论文部分内容阅读
急性心肌梗死（acute myocardial infarction，AMI）是临床上常见的急危重症，病情发展快，易发生多种并发症，上消化道出血是其中的一种，若治疗不及时或处理不当，可加重病情，病死率高，临床研究报道高达30％的急性冠脉综合症或PCI治疗的冠心病患者发生出血并发症，而急性心肌梗死PCI术后消化道出血发生率为2．3％。同时诸多证据表明出血与患者的近期和远期不良预后密切相关，而出血是独立的凶险因素，现就临床工作中遇到的20例AMI并发上消化道出血病例谈谈原因及护理体会。“,”acute myocardial infarction (acute myocardial infarction,AMI)is a severe clinical common,il ness development is rapid,easy occurrence of complications,hemorrhage of upper digestive tract is one of them,if not promptly treated or handled properly,can aggravate the condition,high mortality rate and complication of acute coronary syndrome or PCI treatment of clinical research reported in up to 30% of patients with coronary heart disease,and acute myocardial infarction PCI postoperative gastrointestinal bleeding occurred in 2.3%.At the same time,a lot of evidence of hemorrhage in patients with closely related short-term and long-term adverse prognosis,and bleeding is a dangerous factor of independence,we have 20 cases of AMI com-plicated with met in the clinical work experience about the upper digestive tract hemorrhage reason and nursing care of a case.