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扩冠抗凝药静滴可防止冠脉痉挛所致血栓形成、急性心肌梗塞(AMI)。我们在没有血流动力学监测条件下共完成207例病人的硝酸甘油、肝素连续静滴,未发生严重问题,安全地完成了护理任务,总结如下。 对象与方法 不稳定心绞痛103例,AMI104例。按1980年第一届全国内科学术会议建议标准,确诊后一般先住监护病房,监护1～3日后转入心内科病房。 治疗方法:硝酸甘油15～25mg,肝素50～100mg加入5％葡萄糖500ml中静滴,每8小时一次,其中夜间一次不加肝素,次晨查凝血时间,连续日夜点滴两周左右。静滴前先观察血压、脉搏、心电图及有关化验指标。
Crowning anticoagulant infusion can prevent thrombosis caused by coronary spasm, acute myocardial infarction (AMI). We completed a total of 207 patients with nitroglycerin, heparin continuous intravenous infusion without hemodynamic monitoring, without serious problems and safely completed the nursing tasks, summarized as follows. Objects and Methods unstable angina in 103 cases, AMI104 cases. According to the recommendations of the first National Academic Conference on Internal Medicine in 1980, the patients were admitted to an intensive care unit first after diagnosis and transferred to the cardiology department after 1 to 3 days of custody. Treatment: nitroglycerin 15 ~ 25mg, heparin 50 ~ 100mg 5% glucose 500ml intravenous infusion, once every 8 hours, of which no heparin at night, the next morning clotting time, continuous day and night drip about two weeks. Before intravenous infusion of blood pressure, pulse, ECG and related laboratory indicators.