To summarize the emergency nursing experience of sudden cardiac arrest in 13 patients with acute myocardial infarction during emergency percutaneous coronary intervention. According to the characteristics of patients such as rapid disease progression,repeated cardiac arrest,unstable circulation and etc.,strict disease monitoring,early recognition of the symptoms of cardiac arrest,and rapid implementation of high-quality cardiopulmonary resuscitation were adopted. The nurses initiated the hospital emergency response system,multidisciplinary emergency team was set to carry out advanced life support treatment,and cooperated with doctors to quickly build extracorporeal membrane oxygenation therapy. We also paid attention to nursing measures such as safe transfer and effective handover in the hospital. Among the 13 patients,8 were discharged after condition was improved,3 gave up treatment and 2 died.
WANG Xueping
,
YE Weiguo
,
ZENG Xiaokang
,
ZHONG Jinze
,
ZHANG Debao
,
WU Peipei
,
XIA Liuqin
. Emergency nursing care of acute myocardial infarction patients with sudden cardiac arrest during coronary intervention[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023
, 4(7)
: 628
-631
.
DOI: 10.3761/j.issn.2096-7446.2023.07.012
[1] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会. 急性ST段抬高型心肌梗死诊断和治疗指南(2019)[J]. 中华心血管病杂志,2019,47(10):766-783.
Cardiology Branch of Chinese Medical Association,Editorial Board of Chinese Journal of Cardiology. 2019 Chinese Society of Cardiology(CSC)guidelines for the diagnosis and management of patients with ST-segment elevation myocardial infarction[J]. Chin J Cardiol,2019,47(10):766-783.
[2] 中华医学会急诊医学分会复苏学组,成人体外心肺复苏专家共识组. 成人体外心肺复苏专家共识[J]. 中华急诊医学杂志,2018, 27(1):22-29.
Resuscitation Group of Emergency Medicine Branch of Chinese Medical Association,Expert Consensus Group of Adult Extracorporeal Cardiopulmonary Resuscitation. Expert consensus on adult cardiopulmonary resuscitation[J]. Chin J Emerg Med, 2018,27(1):22-29.
[3] 杜兰芳,马青变. 《2020年中国心脏骤停后脑保护专家共识》解读二:目标温度管理[J]. 中华脑血管病杂志(电子版),2021,15(5):293-296.
Du LF,Ma QB.Interpretation of 2020 expert consensus statement on neuroprotection after cardiac arrest in China(Ⅱ):target temperature management[J]. Chin J Cerebrovasc Dis(Electron Ed),2021,15(5):293-296.
[4] 潘红,黄琴红,蔡英华,等. 13例体外膜肺氧合治疗危重患者院内转运的护理[J]. 中华护理杂志,2017,52(5):561-563.
Pan H,Huang QH,Cai YH,et al.Nursing care of 13 critically ill patients with extracorporeal membrane oxygenation for intra-hospital transfer[J]. Chin J Nurs,2017,52(5):561-563.
[5] 张艳,王凤珍,鲁玉凤,等. ICU患者病情管理交接单的编制及应用[J]. 中华急危重症护理杂志,2021,2(1):7-13.
Zhang Y,Wang FZ,Lu YF,et al.Development and application of handover sheet for ICU patient condition management[J]. Chin J Emerg Crit Care Nurs,2021,2(1):7-13.