心肌梗死后早期活动与出院的结果
Results of early mobilization and discharge after myocardial infarction.
作者信息
Tucker H H, Carson P H, Bass N M, Sharratt G P, Stock J P
出版信息
Br Med J. 1973 Jan 6;1(5844):10-3. doi: 10.1136/bmj.1.5844.10.
A total of 342 patients with acute myocardial infarction who were admitted to a coronary care unit are reviewed to assess the results of early mobilization and discharge. The mean duration of admission was 8.4 days and 89% of the survivors were discharged from hospital by the tenth day. The inpatient mortality was 15.5%. An additional 6.7% died during the six weeks' follow-up period, giving a total mortality of 22.2%. Altogether, 7.6% of patients were readmitted. Venous thromboembolic phenomena occurred in 3.5% during the inpatient period. Of patients who were eligible 62% were back at work five months after their myocardial infarction. We think the results justify a short hospital admission period for acute myocardial infarction.
对342例入住冠心病监护病房的急性心肌梗死患者进行回顾性研究，以评估早期活动和出院的结果。平均住院时间为8.4天，89%的幸存者在第10天出院。住院死亡率为15.5%。另有6.7%的患者在六周随访期内死亡，总死亡率为22.2%。共有7.6%的患者再次入院。住院期间静脉血栓栓塞现象发生率为3.5%。符合条件的患者中，62%在心肌梗死后五个月重返工作岗位。我们认为这些结果证明急性心肌梗死患者的住院时间应缩短。
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