Predictive of postoperative complications of coronary intervention nursing.doc

 PAGE \* MERGEFORMAT 9 Predictive of postoperative complications of coronary intervention nursing [Keywords:] Coronary Intervention, complications, care Clinic patients coronary intervention (PCI clear as soon as possible the location of vascular lesions, the nature and extent of severe myocardial ischemia prior to reperfusion of vascular occlusion and restore blood supply to ischemic myocardium, reduced infarct size to save the dying or the same time, percutaneous coronary intervention treatment to avoid the trauma of open heart surgery to overcome the shortcomings of drug therapy to be ineffective, with less trauma, safety, success rate, the effect is fast and reliable, easy to accept the patient, etc., widely used in clinical practice, but as an invasive surgery, combined with the use of anticoagulant drugs, and if improper care is not observed in time, there will be a series of complications. now for several years in our hospital of complications after the intervention in nursing care are described below. 1 Clinical data May 2004 to July 2008, our department to do intervention in 47 cases, including 29 males, 18 females, aged 52 to 81 years old, with old myocardial infarction in 21 cases, 14 cases of acute myocardial infarction, unstable 9 cases of angina, coronary syndrome in 3 cases, coronary heart disease risk factors in 25 patients with hypertension, diabetes, 8 cases, hyperlipidemia in 11 cases, after intensive care, no complications occurred in 1 case. 2 Care 2.1 Vital signs monitoring serious heart rhythm disorder is a common complication after PCI, is also major cause of death, and continuous ECG monitoring for prevention and early detection of complications is essential, therefore, postoperative continuous ECG monitoring, step up inspections (normally 30 minutes observation 1, closely observe whether the frequency of PVCs, ventricular tachycardia, atrioventricular block, with or without ST segment, T wave changes such as myocard