心肌梗死中心：前进之路。
Myocardial infarction centres: the way forward.
作者信息
Andersen H R, Terkelsen C J, Thuesen L, Krusell L R, Kristensen S D, Bøtker H E, Lassen J F, Nielsen T T
机构信息
Department of Cardiology B, Skejby University Hospital, DK-8200 Aarhus N, Denmark.
出版信息
Heart. 2005 Jun;91 Suppl 3(Suppl 3):iii12-5. doi: 10.1136/hrt.2004.058537.
Abstract
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.
摘要
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。
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