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急性心肌梗死(AMI)属于临床常见严重综合征,常因心脏泵血功能衰竭引发恶性心律失常如室颤或电风暴导致死亡,以急诊PCI为主要治疗手段,一般应于入院后90min内完成。2015年8月16日,我院成功抢救了反复室颤13次的AMI患者1例,现将救治及护理体会报告如下。1病例报告患者,男性,55岁,因胸闷、胸痛半天,加重40min到我院急诊就诊,患者意识清、烦躁、大汗。立即给予吸氧;心电监护:血压测不出、心率40次/min、血氧饱和度98%;心电图示:
Acute myocardial infarction (AMI) is a common clinical serious syndrome, often due to heart failure caused by pump failure, such as ventricular arrhythmia or electrical storm led to death, emergency PCI as the main treatment, the general should be completed within 90min after admission. August 16, 2015, our hospital successfully rescued 13 patients with AMI repeated ventricular fibrillation in 1 case, now the treatment and nursing experience is reported as follows. A case report patients, men, 55 years old, due to chest tightness, chest pain for a long time, aggravate 40min to our hospital emergency treatment, patients with consciousness, irritability, sweating. Immediately give oxygen; ECG: blood pressure can not be measured, the heart rate 40 times / min, oxygen saturation of 98%; ECG shows: