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发布时间:2020-09-28 10:17:48

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及时、成功的PCI手术只是急性心肌梗死救治成功的一半,尤其是对于80岁高龄、大面积前壁心肌梗死的李乃卿教授来说,术后治疗、护理更是改善预后的重中之重。李老高龄、心肌坏死面积大,并合并有高血压、糖尿病、高尿酸血症,经常发作痛风,稍有不慎就会前功尽弃。林谦副院长发挥中医药优势,当天根据李老舌脉,辨证后开出了中药处方,并每天到CCU查房,调整处方;同时CCU的全体医生、护士严格遵循治疗指南,结合李老的具体情况,制定了详细周密的治疗方案,全程给予全方位的中西医结合治疗和护理,即综合管理,并对可能出现的并发症提前采取干预措施。李老由于心肌坏死面积大,在心肌修复期心功能一度明显下降,CCU医护人员24小时守病床旁,密切观察着病情变化,随时调整治疗方案。史晓光主任带领的外科团队心系老主任,照顾老主任一日三餐,缓解了李老因疫情期间家属不能探视而产生的焦虑情绪。在中医药治疗的巨大优势下,经过16个昼夜的精心救护,李老一天天好转,心功能逐渐恢复,血压、血糖都控制良好,出院继续康复治疗。正是因为在心肌梗死的超早期(发病2小时内)及时开通了血管,成功抑制了心肌梗死面积的扩大,术后又尽早开始了中药治疗,中西并重,使李老没有出现恶性并发症,在出院时心肌收缩力已基本恢复到心梗之前水平。


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撰稿:潘熠

          审核:张立晶

于国泳

审阅:林谦


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