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目的探讨急性心肌梗死(AMI)患者行经皮冠状动脉成形术(PTCA)和支架植入术(CASI)的规范、程序化的临床护理对患者生命安全的影响。方法通过对天津市蓟州区人民医院2013年6月-2016年6月370例行PTCA的AMI患者进行术前、术中、术后,包括并发症的护理及术后随访。结果 370例患者中病情好转出院高达368例,死亡2例。结论 AMI最有效的治疗方法是手术介入治疗,以重新建立血液循环,让患者获得良好的预后,及时的治疗是关键,而规范、程序化的临床护理不仅为手术快速、安全的实施提供了保障,并且在疾病的治疗及康复中发挥了重要作用,值得临床应用。
Objective To investigate the effect of standardized and programmed clinical nursing on patients’ life safety in patients with acute myocardial infarction (AMI) undergoing percutaneous transluminal coronary angioplasty (PTCA) and stent implantation (CASI). Methods 370 patients with AMI in PTCA from June 2013 to June 2016 in Tianjin Jizhou District People’s Hospital were treated with preoperative, intraoperative and postoperative complications including postoperative follow-up. Results Out of 370 patients, 368 cases were discharged and 2 died. Conclusions The most effective treatment for AMI is surgical intervention to reestablish blood circulation so that patients get a good prognosis and timely treatment is the key. Normative and procedural clinical nursing not only provides a quick and safe operation for surgery , And plays an important role in the treatment and rehabilitation of the disease and deserves clinical application.