Sharber J
Dimens Crit Care Nurs. 1994 Sep-Oct;13(5):256-62. doi: 10.1097/00003465-199409000-00004.
Occlusion of coronary vessels is now frequently treated by reperfusion using thrombolytics, angioplasty, or coronary artery bypass surgery. On reperfusion, however, acutely ischemic cells may be damaged by the action of oxygen radicals on cell membranes, and by calcium ion flux. By understanding the mechanisms behind reperfusion injury, the critical care nurse can assess and plan for actual and potential patient care problems.
目前,冠状动脉血管闭塞常通过使用溶栓剂、血管成形术或冠状动脉搭桥手术进行再灌注治疗。然而,在再灌注时,急性缺血细胞可能会因氧自由基对细胞膜的作用以及钙离子内流而受损。通过了解再灌注损伤背后的机制,重症护理护士可以评估并规划实际和潜在的患者护理问题。