Andersen H R, Terkelsen C J, Thuesen L, Krusell L R, Kristensen S D, Bøtker H E, Lassen J F, Nielsen T T
Department of Cardiology B, Skejby University Hospital, DK-8200 Aarhus N, Denmark.
Heart. 2005 Jun;91 Suppl 3(Suppl 3):iii12-5. doi: 10.1136/hrt.2004.058537.
In the era of primary PCI, a strategy of admitting patients to the nearest hospital should be obsolete. Instead, a prehospital diagnostic strategy should be implemented in order to: (1) refer patients directly to interventional centres, thereby eliminating delay at local hospitals; (2) alert the interventional centre, thereby reducing door to balloon times; (3) initiate adjunctive medication in the prehospital phase.
在直接经皮冠状动脉介入治疗(primary PCI)时代,将患者收治到最近医院的策略应该过时了。相反,应实施院前诊断策略,以便:(1)将患者直接转诊至介入中心,从而消除在当地医院的延误;(2)通知介入中心,从而缩短门球时间;(3)在院前阶段启动辅助用药。