116 cases of high altitude heart disease heart failure nursing.docVIP

 PAGE \* MERGEFORMAT 5 116 cases of high altitude heart disease heart failure nursing [Keywords:] plateau heart disease, heart failure, care Resident in our hospital an average elevation of 3900m, the plateau heart disease is common in our department, because both atmospheric pressure and atmospheric partial pressure of oxygen is only about 60% of sea level, so altitude heart failure complications, often accompanied by pulmonary infection, the gastrointestinal bleeding, multiple organ damage erythrocytosis psychosis, poor prognosis and high mortality, prevention and symptomatic care is especially important. now our department since 2000, 116 patients admitted to the nursing high altitude heart disease patients with heart failure experience make a retrospective analysis, reported as follows. 1 Clinical data The group of 116 patients were hospitalized patients, 96 patients were male, 20 females, aged 15 to 76 years, mean 51.5 years, Tibetan in 6 cases, 98 cases of Han, Hui, 12 cases were all cases of the 1996 Chinese Medical Association 3rd National Symposium on High Altitude Medicine proposed diagnostic criteria [1] a clear diagnosis of high altitude heart disease, its central function of 24 cases of grade Ⅱ, Ⅲ grade 50 cases, Ⅳ grade 42 cases and 9 died. 2 Nursing 2.1 General care (1) to keep quiet wards to ensure patients fully rest, (2) low-salt diet to digestible based, (3) accurately record the amount of 24 hours out of people, (4) to strengthen the skin and oral care, prevention of bed sores and other complications , (5) maintain a smooth stool, (6) close observation of changes in vital signs, so that early discovery, early reporting, early treatment. Complications of high altitude heart disease, heart failure 2.2 Care 2.2.1 Nursing pulmonary infection (1) to keep warm, to prevent the cold, (2) should take a half supine position, (3) oxygen is the primary treatment, and require early, in time to sustain the low flow (2 ~ 4L/mi