心脏远程实时监护系统在院前抢救中的应用  

Application of cardiac remote real-time monitoring system in pre-hospital rescue

作　　者：董能斌[1] 胡凯[1] 方永祥[2] 侯剑飞[1] 

机构地区：[1]郴州市第一人民医院心电生理科,湖南郴州423000 [2]郴州市第一人民医院心内科,湖南郴州423000

出　　处：《江苏实用心电学杂志》2014年第6期385-387,共3页Journal of Practical Electrocardiology JS

基　　金：郴州市科技局科研项目(CZ2013071);郴州市第一人民医院科研课题(N2010-065)

摘　　要：目的探讨心脏远程实时监护系统在院前抢救中临床应用价值。方法对860例患者应用心脏远程实时监护预警机(i Holter)进行实时监测,对心电异常情况自动报警。结果860例患者中分别监测到束支传导阻滞186例、室性早搏126例、房室传导阻滞64例。监测过程中,诊断并指导治疗心律失常434例(50.5%),其中严重心律失常36例,高危心律失常16例;急性心肌梗死4例;早期发现并抢救成功者合计11例。结论心脏远程实时监护系统有利于及时发现并诊疗心律失常,降低患者心脏猝死的风险,在院前抢救中具有良好的应用前景。Objective To discuss the clinical value of cardiac remote real-time monitoring system in pre-hospital rescue .Methods Cardiac remote real-time monitoring of early warning instru-ment（ iHolter） was applied in 860 patients.The iHolter carried out real-time monitoring on them and gave alerts automatically in case of ECG abnormalities .Results Among 860 cases, 186 cases of bundle branch block , 126 cases of premature ventricular contraction , and 64 cases of atrioventric-ular block were found .During the process of monitoring , 434 patients （ 50 .5%） were diagnosed with arrhythmia and given treatment recommendation , including 36 cases of serious arrhythmia , 16 cases of high-risk arrhythmia; Four cases of acute myocardial infarction were found; Eleven cases were detected early and rescued successfully .Conclusion Cardiac remote real-time monitoring system helps in finding and treating arrhythmia in time , and thus decreasing the risk of cardiac sudden death.It proves to be clinically valuable in pre-hospital rescue .

关 键 词：心脏远程实时监护系统 院前抢救 心律失常 心脏性猝死 

分 类 号：R541.7[医药卫生—心血管疾病] R542.22[医药卫生—内科学]