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亲爱的患者

您想了解心血管疾病吗？

关于心血管疾病

常见心血管疾病包括冠心病、高血压、心力衰竭、心律失常、心血管急症等。在众多心血管疾病中，较为常见且危害较大的是缺血性心脏病和脑卒中。

不管是医务人员还是市民百姓，预防和控制心血管疾病发生与发展的首要策略是提高对疾病的认识。

然而，目前大众对心血管疾病相关知识的知晓率在我国依然很低，对危险因素的控制依然不够理想。

认识它，预防它，改善它，是方向

而您，需要和我们一起

了解更多关于心血管疾病的知识

接下来---

·我们将通过传播科学的系列科普，带您走近心血管疾病，携手预防其发生与发展。

·看看下面的目录，了解我们会给您带来些什么吧？

走近冠心病

系列科普目录

基于-CPLNI

冠脉造影是现阶段诊断冠状动脉粥样硬化性心脏病（冠心病）的一种常用、有效且较为安全可靠的方法。

用于了解患者血管是否存在狭窄情况，以及明确病变部位、血管壁情况、病变严重程度等，有利于为患者的介入及手术等治疗提供重要参考依据，因此被认为是诊断冠心病的“金标准”。

那么冠脉造影术究竟是怎么做的，术前术后又分别要注意些什么呢？相信大家一定有不少疑惑，且听本小编为您一一介绍！

01

揭秘冠脉造影手术过程

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造影诊断：医生首先穿刺动脉血管，通过造影导管注射造影剂，使冠状动脉显影，诊断冠状动脉血管是否通畅，有无狭窄，狭窄部位，狭窄程度等。

干预治疗：将极细导管通过血管，延伸至动脉狭窄部位，随后用球囊将狭窄部位撑开（球囊扩张），必要时会在已被扩张的动脉狭窄处安装支架。最后退出所有导管，支架留在已被扩张的动脉狭窄处。

02

造影术前注意事项

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术前饮食:

★局麻手术，照常饮食

（建议进食干性、清淡食物，勿饮水过多）

完成术前谈话与签字：

★造影手术当天需要家属全程陪同，确保完成术前签字

术前用药：

★术前严格遵照医嘱服用抗血小板药物，预防术中出现血栓、栓塞等现象

术前留置针：

★护士会在您左手安置留置针（特殊情况也可为其他部位），以便术中及术后用药

保持个人卫生：

★修剪指甲、清洁皮肤，干净病号服请贴身穿，取下首饰、假牙、眼镜等交予家属保管

手术接送：

★导管室工勤人员将推车入病房，接您入导管室手术。注意上下床安全。

★护士会核对您的信息，取下心电遥测机器等，落实术前检查。请您在病房耐心等待即可

03

造影术后注意事项

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动脉压迫止血器管理：

★止血器用于术后压迫伤口止血，医务人员会在评估后为您连续放气，减压三次，每次间隔1小时，请勿自行处理

伤口护理：

★保持穿刺部位敷料干净干燥，密切观察伤口有无渗血、污染等现象

★观察术侧肢体：有无肿胀青紫、疼痛麻木等情况，手指末梢活动度、皮肤温度是否良好，如有异常及时告知医护人员

★伤口位于手腕部：勿弯曲或撑手腕，减少下垂，适当抬高肢体，适量做手指伸屈活动

★伤口位于大腿腹股沟：请制动患侧腿并放平，勿坐起，防伤口出血，可适当活动脚趾，促进下肢血液循环

病情监测：

★病情需要时，我们将使用床边心电监护仪，实时监测您的各项生命体征（心率、脉搏、呼吸、血压、血氧饱和度等），请勿自行取下

术后适当多饮水：

★如无特殊限制，患者术后需多饮水以利造影剂排出，保护肾脏，可提前准备~ml温开水（病房配膳室24h供应热水）

Notes：无论是否安装支架，冠脉造影术后并发症不可忽视，如发现以下症状，请及时告知我们

★胸闷、胸痛

★心慌、气促

★头晕恶心、出冷汗

★鼻腔/牙龈出血等

★术侧肿胀并加重

★皮肤红、痒、皮疹

★大小便排解异常

测一测

看到现在，让我们来做4道题来巩固下知识吧！

参考文献：

[1]杜若飞,王盼盼,陈长英,等.心脏病病人学习需求量表的汉化及信效度检验[J].护理研究,,v.34;No.(11):46-51.

[2]中国心血管病风险评估和管理指南编写联合委员会.中国心血管病风险评估和管理指南[J].中华预防医学杂志,,53(1):13-35.

[3]傅洲萍.冠脉造影及支架植入术围术期护理探讨[J].心血管病防治知识,,9(08):64-66.

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