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急性心肌梗死——院前和院后阶段

Acute myocardial infarction--prehospital and posthospital phases.

作者信息

Jasiński K, Dziegielewski T, Zerbe F, Poprawski K

出版信息

Cor Vasa. 1979;21(1):51-60.

PMID:477331
Abstract

The prognosis of acute myocardial infarction depends to a large extent on quick access to medical facilities, preferably in a hospital. Total delay in hospitalization (THD) consists of patient's delay (PD--time from the onset of the attack to the call for a doctor), doctor's delay (DD--time from the call for a doctor to his arrival), and hospitalization delay (HD--time from the doctor's arrival to the admission in a hospital). In a group of 507 cases of acute myocardial infarction the median THD was 215 min., PD--95 min., DD--20 min., HD--35 min. Better interpretation of symptoms both by the patient and the doctor seems to be one of the most effective means of shortening the total hospitalization delay. The final outcome of infarction in terms of the patient's return to normal life depends on proper rehabilitation and treatment in the posthospital phase.

摘要

急性心肌梗死的预后在很大程度上取决于能否迅速获得医疗设施,最好是在医院。住院总延迟(THD)包括患者延迟(PD——从发作开始到呼叫医生的时间)、医生延迟(DD——从呼叫医生到医生到达的时间)和住院延迟(HD——从医生到达医院到入院的时间)。在一组507例急性心肌梗死病例中,THD的中位数为215分钟,PD为95分钟,DD为20分钟,HD为35分钟。患者和医生对症状的更好理解似乎是缩短住院总延迟的最有效方法之一。就患者恢复正常生活而言,梗死的最终结果取决于出院后阶段的适当康复和治疗。

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Cor Vasa. 1979;21(1):51-60.
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