【摘要】 目的总结急性心肌梗死(acute myocardial infarction,AMI)合并急性胰腺炎AP(acute pancreatitis,AP)患者的观察及护理的要点。方法 2010年6月～2011年10月对12例AMI合并AP患者进行治疗,其中重组组织型纤维蛋白溶酶原激活剂(recombinant tissuetype plasminogen activator,rt-PA)溶栓治疗2例,冠状动脉介入治疗3例,内科保守治疗7例;并配合做好护理工作。结果 10例患者经治疗治愈,2例死亡。结论 AMI合并AP,病情凶险,预后差、死亡率高。护理方面做好患者病情观察,积极抗休克,做好溶栓前后及冠状动脉介入(percutaneous coronary intervention,PCI)治疗的护理等,其是治疗成功的重要措施。更多还原

【Abstract】 Objective To summarize the nursing points of patients with acute myocardial infarction (AMI) combined with acute pancreatitis (AP). Methods 12 patients with AMI combined with AP during June 2010 to October 2011 were managed and nursed: 2 of them were treated for thrombolysis with recombinant tissue-type pasminogen activator, 3 with interventional therapy of coronary arteries and 7 with expectant therapy. Result 10 of the patients were cured and 2 died. Conclusions For those with AMI combined with AP, comprehensive nursing and treatment measures should be taken. The nursing strategies may include close observation of conditions, active anti-shock treatment, intensive care before performances of thrombolysis or interventional therapy of coronary arteries, fasting, gastrointestinal decompression, sustained nutrition and water-electrolyte balance, and management of using antibiotics and growth hormone release inhibiting hormone, all of which of benefits for improved treatment and prognosis.更多还原