Patel R J, Vilke G M, Chan T C
The University of California San Diego School of Medicine, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92103-8676, USA.
J Emerg Med. 2001 Jul;21(1):35-9. doi: 10.1016/s0736-4679(01)00323-7.
Although widely used in Europe, the prehospital 12-lead electrocardiogram (EKG) has seen only limited use in this country. Reported benefits of the 12-lead EKG include shortening the door-to-needle time, accelerating the initiation of reperfusion therapy, and overall improving the prehospital and hospital management and outcome of patients with acute myocardial infarction. The field EKG also provides the basis for prehospital fibrinolysis. Concerns still exist, however, regarding the best means of providing real-time field interpretation of the prehospital EKG and the potential for inappropriate field time delay, triage, and treatment of patients. Moreover, questions remain about the overall clinical and cost benefit of expanding this resource universally. The following article reviews the role of prehospital EKG in caring for patients with acute coronary syndromes.
尽管12导联心电图（EKG）在欧洲被广泛使用，但在我国的应用却非常有限。12导联EKG的已知益处包括缩短门到针时间、加速再灌注治疗的启动，并总体改善急性心肌梗死患者的院前和院内管理及预后。现场EKG还为院前溶栓提供了依据。然而，对于提供院前EKG实时现场解读的最佳方式以及患者出现不适当现场时间延迟、分诊和治疗的可能性，仍然存在担忧。此外，对于普遍扩大这一资源的总体临床和成本效益也存在疑问。以下文章综述了院前EKG在急性冠脉综合征患者护理中的作用。
