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目的:探讨脑梗塞超早期静脉溶栓治疗的护理。方法:收集2016年1月~2017年6月我院神经内科30例脑梗塞超早期溶栓的患者作为研究对象,平均年龄(54.1±12.3)岁,其中男性19人,女性11人。护理方法具体分为溶栓前护理、溶栓准备、溶栓中的护理、溶栓后护理、康复护理。结果:本次30例患者使用超早期溶栓次日后,临床症状如头痛、呕吐、意识、言语、肌力逐渐好转,复查头颅CT梗塞灶变小,无出血灶征象,均顺利出院。结论:我们认为脑梗塞超早期使用阿替普酶溶栓安全、有效,但也需注意溶栓不同环节中的护理特点,以提高治疗疗效。
Objective: To investigate the care of ultra-early intravenous thrombolysis in patients with cerebral infarction. Methods: From January 2016 to June 2017, 30 patients with cerebral infarction with early thrombolysis in our department of neurology were enrolled. The mean age was (54.1 ± 12.3) years old, including 19 males and 11 females. Nursing methods are specifically divided into pre-thrombolytic care, thrombolytic preparation, thrombolysis care, thrombolytic care, rehabilitation nursing. Results: The ultra-early thrombolysis of the 30 patients after the next day, the clinical symptoms such as headache, vomiting, consciousness, speech, muscle strength gradually improved, review of the cranial CT infarct smaller, no signs of hemorrhage were discharged. Conclusion: We believe that the early use of alteplase thrombolytic therapy in cerebral infarction is safe and effective, but care should be taken in different aspects of thrombolysis to improve the curative effect.