Ipatov P V, Ardashev V N, Chernov S A, Ovsiannikov V V
Klin Med (Mosk). 2006;84(10):31-5.
The purpose of the study was to investigate the reasons for late diagnosis and late transfer of hospitalized patients with myocardial infarction (MI) to a specialized cardiological department. The study shows that the main reasons are an atypical clinical picture of MI and a low "infarct alert" of doctors of different specialties. The authors analyzed the fullness of urgent medical aid and the beginning of treatment in cases of intrahospital MI in patients being treated in different hospital departments. The analysis revealed the main objective and subjective factors that cause a low frequency of administration of thrombolytics, anticoagulants, and disaggregants.
该研究的目的是调查心肌梗死（MI）住院患者延迟诊断和延迟转至专业心脏病科室的原因。研究表明，主要原因是MI的非典型临床表现以及不同专业医生的“梗死警觉性”较低。作者分析了不同医院科室接受治疗的患者发生院内MI时紧急医疗救助的完整性和治疗开始情况。分析揭示了导致溶栓剂、抗凝剂和抗聚集剂使用频率较低的主要客观和主观因素。
