急性心肌梗死患者长途安全转诊体会  

Experience of Long-Distance Safety Referral of Patients with Acute Myocardia Infarction

作　　者：岳俊伟 张婵[2] 王观涛 完颜振杰 陈二庆 

机构地区：[1]郑州市紧急医疗救援中心特勤科,郑州450047 [2]郑州人民医院郑东分院,郑州450046

出　　处：《河南医学高等专科学校学报》2015年第4期432-434,共3页Journal of Henan Medical College

摘　　要：目的探讨急性心肌梗死(AMI)患者长途安全转诊的方法,提高抢救成功率。方法回顾性分析58例急性心肌梗死(AMI)患者长途转诊处理过程。结果 58例患者均安全转运,转运成功率100%,途中出现心律失常19例,心源性休克3例,心功能衰竭2例,心搏骤停1例,均经积极对症处理后安全转运。结论转诊前全面综合评估,准确把握适应证,转诊前充分准备并及时给予预处理,途中严密监护,及时处理致死并发症,是提高AMI患者长途转诊的重要措施。Objective To study the methods of long- distance safety referral of patients with acute myocardial infarction( AMI) in order to improve the success rate of rescue. Methods The process of long- distance referral of 58 patients with AMI were analyzed retrospectively. Results 58 patients with AMI were transferred safely,the success rate of rescue was 100%. During the referral,arrhythmia occurred on 19 cases of patients,cardiac shock on 3 cases,heart failure on 2 cases and sudden cardiac arrest on 1 case. All the above cases of patients were transferred safely after being actively handled. Conclusion Comprehensive evaluation before referral,accurate grasp of the indications,well preparation and prompt pretreatment before referral,intensive care during the referral and timely handling of lethal complications are the important measures of improving long- distance safety referral of patients with AMI.

关 键 词：急性心肌梗死 长途转诊 综合评估 严密监护 及时处理 

分 类 号：R542.2[医药卫生—心血管疾病]