经皮心脏介入术后合并上消化道出血的临床观察及护理措施.PDFVIP

Global Journal of Advanced Nursing Practice，2015,Vol.2,No.1 /index.php/gjanp After percutaneous cardiac intervention complicated with upper gastrointestinal hemorrhage: clinical observation and nursing intervention Ren Changming, Zhuang Haifeng, Shen Ying Department of Cardiology, Xuzhou Central Hospital, Xuzhou, Jiangsu, China Received: Dec 15, 2014 Accepted: Jan 21, 2015 Published: Mar 31, 2015 DOI:10.14725/gjanp.v2n1.a970 URL:/10.14725/gjanp.v2n1.a970 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To observe the cause and nursing intervention of upper gastrointestinal hemorrhage in patients undergoing interventional cardiology treatment. Methods: 2,279 patients in our department between January 2010 undergoing cardiac intervention treatment (PCI 2000, 279 cases of AF ablation) were selected, including 19 cases of postoperative patients with gastrointestinal bleeding (PCI 15, 4 cases of AF ablation), analyzing clinical characteristics of all the patients, and predicting factors that affect UGH. Results: (1) Observe the incidence of bleeding: age≥ 70 years of age, atrial fibrillation, diabetes mellitus, history of pepticulcer, acute myocardial infarction after emergency PCI, with platelet glycoprotein Ⅱb ／Ⅲa receptor antagonist in patients, UGH had higher incidence. (2) Risk factors: age ≥ 70 years [odds ratio (OR) is 2.23,95% confidence interval (CI) 0.01～4.13, P ＜0.01] dead, acute myocardial infarction (OR l.91, 95 ％ CI 0.57～2.52, P ＜0.05) as well as the history of peptic ulcer (OR value 1.02, 95 ％ CI 0.17～2.25, P ＜0.05) PCI in Atrial fibrillation with anticoagulation therapy (OR 1.85, 95% CI 0.85～2.35) was the patient during the postoperative hospital stay UGH Predictive factors. Conclusion: Age, history of dia