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一家区级医院的冠心病重症监护经验。

Experiences of coronary intensive care in a district hospital.

作者信息

McAllen P M

出版信息

Postgrad Med J. 1971 Jan;47(543):5-11. doi: 10.1136/pgmj.47.543.5.

DOI:10.1136/pgmj.47.543.5
PMID:5100188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2467136/
Abstract

Seven hundred and twenty-one patients were admitted during 22 months. Recent myocardial infarction was confirmed in 518. In this group, 115 (22%) died in hospital and 33 (6%) were resuscitated and left hospital alive. Prophylactic measures probably prevented cardiac arrest in a number of patients and contributed to lowering the mortality rate. Other factors influencing cardiac arrest and death were sex, age, time after onset of infarction and ECG pattern. Anticoagulants had no influence. The clinical presentation was most varied and several difficult diagnostic patterns are described.

摘要

在22个月期间共收治了721例患者。其中518例确诊为近期心肌梗死。在这组患者中,115例(22%)死于医院,33例(6%)经复苏后存活出院。预防性措施可能在一些患者中预防了心脏骤停,并有助于降低死亡率。影响心脏骤停和死亡的其他因素包括性别、年龄、梗死后时间及心电图表现。抗凝剂无影响。临床表现最为多样,并描述了几种难以诊断的模式。

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Experiences of coronary intensive care in a district hospital.一家区级医院的冠心病重症监护经验。
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引用本文的文献

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Prognostic index for myocardial infarction treated in a coronary care unit.冠心病监护病房治疗的心肌梗死的预后指数
Br Heart J. 1973 Feb;35(2):135-41. doi: 10.1136/hrt.35.2.135.
2
Cardioselective beta-adrenergic blockade.心脏选择性β-肾上腺素能阻断
Proc R Soc Med. 1972 Sep;65(9):761-4. doi: 10.1177/003591577206500916.
3
Inhalation treatment for asthma.哮喘的吸入治疗。
Arch Dis Child. 1986 Jan;61(1):88-94. doi: 10.1136/adc.61.1.88.
4
Cerebrovascular incidents after myocardial infarction.心肌梗死后的脑血管事件。
J Neurol Neurosurg Psychiatry. 1977 Oct;40(10):951-5. doi: 10.1136/jnnp.40.10.951.

本文引用的文献

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The coronary care unit. New perspectives and directions.冠心病监护病房。新视角与新方向。
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Br Med J. 1966 Apr 23;1(5494):1005-9. doi: 10.1136/bmj.1.5494.1005.
8
The natural history of atrioventricular conduction defects in acute myocardial infarction.急性心肌梗死时房室传导阻滞的自然病程。
Am Heart J. 1969 Oct;78(4):460-6. doi: 10.1016/0002-8703(69)90479-7.
9
Late ventricular dysrhythmias after myocardial infarction.心肌梗死后的晚期室性心律失常。
Br Med J. 1968 Nov 9;4(5627):364-6. doi: 10.1136/bmj.4.5627.364.
10
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.