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目的:探讨镇静镇痛治疗在急性心肌梗死合并心理障碍患者中的作用。方法:回顾性总结3例急性心肌梗死合并心理障碍患者中的镇静镇痛治疗经验。结果:例1在疾病初期,因烦躁给予力月西镇静治疗,后期治疗得以顺利实施、成功救治;例2发作胸痛时予以安定、杜冷丁镇静镇痛治疗,取得较好疗效;例3住院期间,明显烦躁,情绪波动大,医从性较差,拒绝镇静镇痛治疗,终因多器官功能衰竭死亡。结论:在急性心肌梗死患者中,应结合患者病情,合理予以镇静镇痛治疗,可减缓患者不良情绪,有助于治疗展开,改善预后。
Objective: To investigate the role of sedation analgesia in patients with acute myocardial infarction complicated with mental disorders. Methods: The experience of sedation and analgesia in 3 patients with acute myocardial infarction complicated with mental disorders was retrospectively reviewed. Results: In the early stage of the disease, the patient was treated with restless western sedation due to irritability. The post-treatment was successfully implemented and the treatment was successfully treated. In the case of chest pain, sedation and pethidine sedation and analgesia were obtained. , Obviously irritability, mood swings, poor medical care, refusal sedation analgesic treatment, and eventually died of multiple organ failure. Conclusion: In patients with acute myocardial infarction, patients should be treated with sedation and analgesia in combination with their condition, which can alleviate adverse emotions in patients and help to improve the prognosis.