总结对56例行急诊PCI介入治疗患者的护理配合,使我们体会到高质量的护理配合是手术成功的基础,尤其是充分的术前准备,细心、耐心、周密、娴熟的护理技术,术中密切观察病情,及早发现心律失常并积极配合抢救是预防和减少并发症、提高手术成功率的重要保证.本组11例心率减慢,8例给予阿托品静脉注射后恢复正常心率,3例Ⅱ度二型以上房室传导阻滞患者安装临时起搏器.所发生加速性室性自主心律中有7例直接转成室性心动过速,给予静脉注射利多卡因后转复窦性心律.6例在血管再通后瞬间出现再灌注心律失常室早、室速、室颤立即非同步直流电除颤复律、静脉注射利多卡因后恢复窦性心律.

Objective To analyze the reasons and clinical presentations of complications associated with coronary angiography and percutaneous coronary intervention(PCI) and gain correct treatment and nursing strategies. Methods The complications of 733 patients undergoing coronary angiograph and PCI from April 2008 to April 2010 were analyzed retrospectively. Results 126 patients experienced various complications during and after operations totally,among which 49 patients and 77 patients occurred in coronary angiography and PCI respectively,including one case of death;12 cases with abrupt vessel closing;6 cases with tachy-arrhythmia;2 cases with coronary vessel perforation and cardiac tamponade;11 cases with allergy to contrast medium;15 cases with groin vascular complications;38 cases with vessel-vagal reflection;41 cases with hypotention. Except one case died due to serious ischemia-reperfusion arrhythmia,the others recovered completely because of appropriate treatment and nursing. Conclusion The complications associated with coronary angiography and PCI can be detected and treated in time as clinicians and nurses accumulate more experiences. The success rate of operation can be raised and the living quality of patients can be improved.