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目前急性心肌梗塞的死亡率仍很高,采用中西两法加强护理和监护是降低死亡率较有效的办法。随着电子工业的发展和医疗技术水平的提高,对护理工作提出了更高的要求。护理人员要在认识急性心肌梗塞的基础上,不仅要做好病人的特殊护理,还要掌握冠心病的监护。作者使用的心脏监护仪器包括心脏监护,起搏和去颤三种功能。护理人员在使用监护系统监护病人过程中,可早期发现心律失常等,以便及时防治,并掌握人工起搏及去颤技术以应急需。在应用监护系统治疗的12例中,由于加强了护理、监护及防治工作,无1例死于原发性心脏骤停或其它心律紊乱,而“常规”治疗的32例中则有5例死于原发性心脏骤停,另2例死于快速型室性心律失常。
At present, the mortality rate of acute myocardial infarction is still very high. To strengthen the care and guardianship by using both Chinese and Western methods is a more effective way to reduce mortality. With the development of the electronics industry and the improvement of medical technology, higher demands are placed on nursing work. Nurses to recognize acute myocardial infarction, based on not only do a good job of patients with special care, but also master the guardianship of coronary heart disease. Cardiac monitoring devices used by the authors include heart monitoring, pacing and defibrillation. Nurses in the use of monitoring system custody of patients during the early detection of arrhythmia, etc., in order to prevent and control, and grasp the artificial pacing and defibrillator technology to emergency needs. Of the 12 patients treated with the monitoring system, none of them died of a primary cardiac arrest or other cardiac arrhythmia due to increased intensive care, guardianship and control efforts, while 5 of 32 “routine” treatments died In primary cardiac arrest, the other two died of rapid ventricular arrhythmias.