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[急救直升机上急诊医生的心率特征]

[Characteristics of the heart rate of emergency physicians in emergency helicopters].

作者信息

Benzer A, Niebergall H, Posch G, Flora G

机构信息

Universitätsklinik für Anästhesie und Allgemeine Intensivmedizin Innsbruck.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1991 Aug;26(5):276-9. doi: 10.1055/s-2007-1000582.

Abstract

The heart rate behaviour of 14 emergency doctors was examined in 50 cases of medical emergency service by helicopter. In addition, the subjective stress experienced by the probands was inquired by means of a questionnaire. The alarm and the landing at the site of the emergency resulted in the most marked heart rate increases; also during the period of approaching the patient, his rescue and care, persistent tachycardia could be observed. Recovery began slowly during the return flight, but even 15 minutes after completion of the emergency task the heart rate was still higher than the original value before the alarm had been sounded. Subjectively the total stress was considered to be generally low in the opinion of the emergency doctors. It seems that unconscious mechanisms of repression prevent the actual realistic recording of physical and emotional stress during the emergency service by helicopter.

摘要

对14名急诊医生在50例直升机医疗急救任务中的心率行为进行了检查。此外,通过问卷调查询问了受试者所经历的主观压力。警报响起和在急救现场降落导致心率增幅最为显著;在接近患者、对其进行救援和护理期间,也可观察到持续性心动过速。在返程飞行中恢复过程开始缓慢,但即使在急救任务完成15分钟后,心率仍高于警报响起前的初始值。急诊医生认为,总体主观压力普遍较低。似乎无意识的压抑机制妨碍了在直升机急救服务期间对身体和情绪压力进行实际的如实记录。

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