摘要
目的:探讨院内外一体化急救绿色通道在急性心肌梗死(AMI)患者救治中的应用效果。方法:对38例AMI患者采用院内外一体化急救绿色通道实施救护。结果:本组38例AMI患者发病至入导管室时间为60~180 min,转运时间为(60±30)min。其中35例行冠状动脉内支架植入术,2例因血栓负荷重行PTCA后冠状动脉内注射替罗非班择期介入治疗,1例死亡。结论:内外一体化急救绿色通道可以缩短AMI患者诊断、转运、治疗时间,提高抢救成功率。
Objective:To investigate the application effect of the integrated first aid green channel inside and outside hospital to the e mergency treatment of patients with acute myocardial infarction ( AMI ). Methods : 38 AMI patients were rescued by using the integrated first aid green channel inside and outside hospital. Results : The time to send the patients into the catheterization room from attack was 60 - 180 minutes,the transit time was (60± 30 ) minutes. 35 patients underwent intracoronary stent implantation,2 patients received intracor onary administration of Tirofiban after undergoing PTCA and waited for selective interventional therapy, one patient died. Conclusion : The integrated first aid green channel inside and outside hospital can shorten the time of diagnosis, transit and treatment so as to increase the success rate of rescue.
关键词
急性心肌梗死
一体化急救绿色通道
介入治疗
急救
护理
AMI
Integrated first - aid green channel
Interventional therapy
First - aid
Nursing