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心肌梗死后的家庭护理还是医院护理:这是个正确的问题吗?

Home or hospital care after myocardial infarction: is this the right question?

作者信息

Colling A

出版信息

Br Med J. 1974 Mar 23;1(5907):559-63. doi: 10.1136/bmj.1.5907.559.

DOI:10.1136/bmj.1.5907.559
PMID:4817192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1633661/
Abstract

This article attempts to lay down guide-lines for the general practitioner faced with a patient with a myocardial infarction in his home. A too rigid distinction between home or hospital care should not be attempted. Rather the general practitioner should look at home and hospital care and decide which is more appropriate in a particular case. In particular, he must distinguish clearly between cases he sees very soon after an attack and those he sees some hours later. Two hours is suggested as a useful dividing time between the two groups of patients.

摘要

本文旨在为在家中遇到心肌梗死患者的全科医生制定指导方针。不应试图在家护理和医院护理之间作过于严格的区分。相反,全科医生应综合考虑家庭护理和医院护理,并根据具体情况决定哪种方式更合适。特别是,他必须清楚地区分在发作后不久就见到的病例和数小时后见到的病例。建议将两小时作为这两组患者的一个有用的分界时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa52/1633661/c0a57bdba4c0/brmedj02180-0050-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa52/1633661/51722c2f929f/brmedj02180-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa52/1633661/c0a57bdba4c0/brmedj02180-0050-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa52/1633661/51722c2f929f/brmedj02180-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa52/1633661/c0a57bdba4c0/brmedj02180-0050-b.jpg

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Home or hospital care after myocardial infarction: is this the right question?心肌梗死后的家庭护理还是医院护理:这是个正确的问题吗?
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Teesside coronary survey: an epidemiological study of acute attacks of myocardial infarction.蒂赛德冠心病调查:心肌梗死急性发作的流行病学研究

本文引用的文献

1
Deaths from coronary heart disease in persons fifty years of age and younger. A community-wide study.50岁及以下人群的冠心病死亡情况。一项全社区范围的研究。
N Engl J Med. 1963 Mar 14;268:569-75. doi: 10.1056/NEJM196303142681102.
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Prognostic factors in myocardial infarction.
Lancet. 1957 Jun 8;272(6980):1155-61; contd. doi: 10.1016/s0140-6736(57)91735-x.
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Problems in evaluating coronary care units. Their responsibilities and their relation to the community.评估冠心病监护病房存在的问题。其职责及其与社区的关系。
Br Med J. 1976 Nov 13;2(6045):1169-72. doi: 10.1136/bmj.2.6045.1169.
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Coronary care unit in a general medical ward.综合内科病房中的冠心病监护病房。
Br Med J. 1969 May 24;2(5655):502-3. doi: 10.1136/bmj.2.5655.502.
5
Cardiac monitoring in a regional hospital.地区医院的心脏监测
Br Med J. 1969 Jan 25;1(5638):209-12. doi: 10.1136/bmj.1.5638.209.
6
Duration of last attack in 998 fatal cases of coronary artery disease and its relation to possible cardiac resuscitation.998例冠心病致死病例的末次发作持续时间及其与可能的心脏复苏的关系
Br Med J. 1968 Jul 20;3(5611):139-42. doi: 10.1136/bmj.3.5611.139.
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Results of a general hospital coronary care service.一家综合医院冠心病护理服务的结果。
Br Med J. 1968 Mar 30;1(5595):830-3. doi: 10.1136/bmj.1.5595.830.
8
Effect of heparin on serum free-fatty-acids, plasma catecholamines, and the incidence of arrhythmias following acute myocardial infarction.肝素对急性心肌梗死后血清游离脂肪酸、血浆儿茶酚胺及心律失常发生率的影响。
Br Med J. 1970 Sep 26;3(5725):735-7. doi: 10.1136/bmj.3.5725.735.
9
Early mobilization after myocardial infarction: a controlled study.心肌梗死后的早期活动:一项对照研究。
Br Med J. 1973 Feb 3;1(5848):257-9. doi: 10.1136/bmj.1.5848.257.
10
Nursing posture after acute myocardial infarction.
Lancet. 1969 Dec 27;2(7635):1378-80. doi: 10.1016/s0140-6736(69)90929-5.