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[急诊急性心肌梗死护理协议:《梗死代码》(The Infarction Code)]

[Protocol for the care of acute myocardial infarction in emergency: Código infarto (The Infarction Code)].

作者信息

Borrayo-Sánchez Gabriela, Pérez-Rodríguez Gilberto, Martínez-Montañez Olga Georgina, Almeida-Gutiérrez Eduardo, Ramírez-Arias Erick, Estrada-Gallegos Joel, Palacios-Jiménez Norma Magdalena, Rosas-Peralta Martín, Arizmendi-Uribe Efraín, Arriaga-Dávila Jesús

机构信息

Dirección Médica, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):233-246.

Abstract

Cardiovascular diseases are a major public health problem because of their they impact on more than 30% of all deaths worldwide. In our country and in the Instituto Mexicano del Seguro Social (IMSS) are also the leading cause of death and the main cause of lost of healthy life years due to disability or premature death. 50% of deaths are premature; most of them are due to acute myocardial infarct. However, the investment for cardiovascular health is poor and there are no comprehensive cares programs focused on the treatment of this diseases or the control of their risk factors. To address this problem, the first institutional care program was developed, called "A todo corazón", which aims to strengthen actions to promote healthy habits, prevention and care of cardiovascular diseases. The initial approach is to implement a protocol of care emergency services called "Código infarto", which is intended to ensure the diagnosis and treatment of patients demanding emergency care for acute myocardial infarction and receive reperfusion treatment with primary angioplasty in the first 90 minutes, or fibrinolytic therapy in the first 30 minutes after the admission to the IMSS emergency services.

摘要

心血管疾病是一个重大的公共卫生问题,因为它们影响着全球超过30%的死亡人数。在我国以及墨西哥社会保险局(IMSS),心血管疾病也是主要死因,并且是因残疾或过早死亡导致健康生命年损失的主要原因。50%的死亡是过早死亡;其中大多数是由于急性心肌梗死。然而,对心血管健康的投入不足,并且没有专注于治疗这些疾病或控制其危险因素的综合护理项目。为解决这一问题,首个机构护理项目“全心投入”得以开展,其目的是加强促进健康习惯、预防和护理心血管疾病的行动。最初的方法是实施一项名为“心梗代码”的护理急救服务协议,该协议旨在确保对因急性心肌梗死需要急救护理的患者进行诊断和治疗,并在最初90分钟内接受直接冠状动脉介入治疗进行再灌注治疗,或在入住IMSS急救服务机构后的最初30分钟内接受溶栓治疗。

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