双语PPT演示.ppt

急性心肌梗死的护理The nursing of Acute? Myocardial Infarction department of cardiology Ling Dongyan Summary 摘要 定义 definition 诊断要点 diagnostic points 治疗 treatment 护理 nursing Clinical manifestations 临床表现 Typical clinical manifestation--Chest pain Gastrointestinal symptoms 心肌酶 related items 1门冬氨酸氨基转移酶（AST） 2.α-羟丁酸脱氢酶（α-HBDH） 3.磷酸肌酸激酶（CK） 4.肌酸激酶同工酶（CK-MB） 5乳酸脱氢酶（LDH) 6.乳酸脱氢酶同工酶（LDH-1） 7. 心肌红蛋白 8.心肌钙蛋白IcTnI Treatment principle  治 疗 原 则 Protect and maintain heart function Save the dying myocardial, prevent infarction expanded reduce or handle all sorts of complications in time Therapeutic measures 监护和一般治疗 vital sign monitoring and general treatment 解除疼痛 relive or remove pain 心肌再灌注治疗 Myocardial reperfusion therapy （1）溶栓治疗 （thrombolysis therapy） （2）PCI (percutaneous coronary intervention) 其他治疗 (drug、handle complications) Emergency treatment –the cooperation of nurses 溶栓治疗（药物）Thrombolysis drug PCI（更衣replace clothes、备皮skin preparation 、碘过敏试验allergy test 、服药） 急查血Collecting blood samples 、建立静脉通路Establish vein circuit 、抢救物品器械prepare rescue items 争分夺秒！ make full use of every minute 紧张有序 Intensely And Orderly Work （一） rest 休息 Coronary Care Unit (CCU) rest in bed absolutely （二）alleviate pain 减轻疼痛 observe it carefully follow the doctors advise to give medicine as soon as possible , Observing effect and side effect （三）continued Oxygen 持续的氧气吸入 (四) diet management and prevent constipation饮食指导和防止便秘 饮食 防止便秘 (五)psychological nursing 心理护理 （六）Prevent complications  并发症的预防 严密观察 strict observation 及时发现 discover in time 及时处理 handle in time nursing targets 护理目标 患者主诉疼痛减轻或消失 the pain of Patients mitigated or disappear 无严重并发症发生，或发生时能得到及时发现处理 without major complications, occurs can be discovered and deal with in time 未发生便秘 no constipation occurred 恐惧心理消失，焦虑减轻或消失