观察单元中胸痛患者的护理

Care of the Patient with Chest Pain in the Observation Unit.

作者信息

Borawski Joseph B, Graff Louis G, Limkakeng Alexander T

机构信息

Division of Emergency Medicine, Duke University Medical Center, 2424 Erwin Road, Suite 504, Durham, NC 27705, USA.

Department of Emergency Medicine, The Hospital of Central Connecticut, New Britain, CT, USA.

出版信息

Emerg Med Clin North Am. 2017 Aug;35(3):535-547. doi: 10.1016/j.emc.2017.03.003.

DOI:10.1016/j.emc.2017.03.003

PMID:28711123

Abstract

Care of the patient presenting to an emergency department (ED) with chest pain remains a common yet challenging aspect of emergency medicine. Acute coronary syndrome presents in nonspecific fashion. The development and evolution of the ED-based observation unit has helped to safely assess and diagnose those most at risk for an adverse cardiac event. Furthermore, there are several provocative testing modalities to help assess for coronary artery disease. This article serves to describe and discuss the modern ED-based observation unit approach to patients with chest pain and/or angina equivalents presenting to an ED.

摘要

对因胸痛前往急诊科（ED）就诊的患者进行护理，仍然是急诊医学中常见但具有挑战性的一个方面。急性冠状动脉综合征的表现并不具有特异性。基于急诊科的观察单元的发展和演变有助于安全地评估和诊断那些最有发生不良心脏事件风险的患者。此外，有几种激发试验方法可用于帮助评估冠状动脉疾病。本文旨在描述和讨论现代基于急诊科观察单元对因胸痛和/或心绞痛等效症状前往急诊科就诊患者的处理方法。