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[西德侵入性心脏诊断与治疗的潜力。与其他欧洲国家和美国的比较]

[Potentials of invasive cardiological diagnosis and therapy in West Germany. A comparison with other European states and the USA].

作者信息

Dörr R, Effert S

出版信息

Dtsch Med Wochenschr. 1987 Apr 24;112(17):675-9. doi: 10.1055/s-2008-1068119.

DOI:10.1055/s-2008-1068119
PMID:2952483
Abstract

On the basis of a market analysis on the part of industry, the cardiological and cardiosurgical investigation and treatment capacities in 13 West European countries and in the USA are examined. With 2.0 adult left-heart catheter centers per million inhabitants or about 500,000 inhabitants per center, West Germany takes fourth place behind the USA (4.0), the Netherlands (3.2) and Switzerland (2.3). With regard to cardiac surgery, West Germany takes last place in the European comparison with less than 0.6 cardiac surgery centers per million inhabitants. The widespread use of transluminal coronary angioplasty (PTCA) is limited by the fact that only 28% of all cardiological centers in West Germany can ensure preparedness for emergency cardiac surgery operations in the same hospital. However, experience in the United States shows that less a proliferation of cardiac surgery centers than additional instruments and staff in the available facilities in West Germany would be desirable for economic and medical reasons.

摘要

根据行业方面的市场分析,对13个西欧国家和美国的心脏病学及心脏外科检查和治疗能力进行了考察。西德每百万居民中有2.0个成人左心导管插入术中心,即每个中心约服务50万居民,在排名上仅次于美国(4.0)、荷兰(3.2)和瑞士(2.3),位居第四。在心脏外科方面,与欧洲其他国家相比,西德每百万居民中心脏外科中心不到0.6个,排名垫底。经皮冠状动脉腔内血管成形术(PTCA)的广泛应用受到限制,因为在西德,只有28%的心脏病学中心能够确保在同一家医院具备进行心脏急诊手术的准备。然而,美国的经验表明,出于经济和医疗原因,西德现有的设施中增加仪器和工作人员比增加心脏外科中心更为可取。

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