摘要
在院前急救中,快速识别心脏骤停并对复苏后患者进行实时心电监护是非常必要的。该文提出院前急救全程心电监测的概念,并设计一种便携式院前急救心电监测仪(Prehospital ECG Monitor,Pre-ECG)。Pre-ECG具有两种工作模式,即快速检测模式和连续监护模式。在快速检测模式下使用金属电极可在几秒钟内显示患者心电波形和心率,以了解病人心脏电活动状况;接入导联线后则自动切换为连续监护模式,能够实时显示心电波形和心率,并能够对心率相关异常实时报警,满足转运过程中心电监护的要求。两种工作模式下的心电数据都可永久存储在Tran Flash卡中,可以通过蓝牙打印机打印输出或通过网络传输进行远程会诊,也可留作法律依据和学术研究资料。
In pre-hospital emergency, it＇s essential to immediate recognize cardiac arrest, and use real-time ECG monitoring for patients. We propose a concept of whole-course ECG monitoring and implementation in pre-hospital emergency, and design a portable pre-hospital ECG monitor （Pre-ECG）. There are two working modes in Pre-ECG, i.e., rapid detection and continuous monitoring modes. In rapid detection mode, ECG waves and heart rate of patients can be displayed in a few seconds by using metal electrodes, which helps to understand the status of patients＇ cardiac electrical activity. After connecting lead wire to the Pre-ECG, it can automatically switch to working in continous monitoring mode. At this time, ECG waves and heart rate can be displayed in real time, and give an alarm for abnormalities of heart rate, which can well meet the requirement from transfer process of patients. Moreover, all ECG data derived from the two modes can be stored permanently in TranFlash card, which can be printed via bluetooth printer, be used for remote medical consultation through the internet, or be reserved as legal evidence and academic research materials.
作者
石波
张莉
曹阳
邹贵全
刘华永
李雷
张艳
SHI Bo ZHANG Li TSAU Young ZOU Guiquan LIU Huayong LI Lei ZHANG Yan(Department of Medical Imaging, Bengbu Medical College, Bengbu, 233030 Dimetek Digital Medical Technologies, Ltd, Shenzhen, 518067 Department of Emergency, Huainan Chaoyang Hospital, Huainan, 232007)
出处
《中国医疗器械杂志》
2017年第5期349-352,共4页
Chinese Journal of Medical Instrumentation
基金
安徽省教育厅自然科学研究重点项目(KJ2016A470)
关键词
院前急救
心电监测
心脏骤停
快速识别
pre-hospital emergency, ECG monitoring, cardiac arrest, immediate recognition
