Bory M, Bonnet J L, Dubouloz F, Serradimigni A
Service de Cardiologie, CHU de la Timone, Marseille.
Ann Cardiol Angeiol (Paris). 1989 Sep 15;38(7):349-52.
Based on a 19-month experience of intravenous thrombolysis performed at home during the acute phase of myocardial infarction, we feel it is a realistic procedure, since it did not result in too many unnecessary calls: in 648 calls which seemed attributable to a coronary emergency by the Emergency Medical Services, this diagnosis was ruled out in 119 instances (18.4%) and confirmed in 529 instances (81.6%); diagnostic errors were not too frequent: 3.8 p. cent of false positive and 5.8 p. cent of false negative; it was not very hazardous: one death only from cardiogenic shock; it permitted to save time by decreasing by 30 minutes the start of the treatment; it avoided excessive costs by using already established structures.
基于在心肌梗死急性期进行家庭静脉溶栓的19个月经验，我们认为这是一种切实可行的方法，因为它不会导致过多不必要的呼叫：在紧急医疗服务部门认为可能归因于冠状动脉紧急情况的648次呼叫中，119例（18.4%）排除了该诊断，529例（81.6%）得到确诊；诊断错误并不频繁：假阳性率为3.8%，假阴性率为5.8%；它的危险性不是很大：仅1例死于心源性休克；它通过将治疗开始时间缩短30分钟节省了时间；通过利用已有的机构避免了过高的成本。
