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[分析急性心肌梗死患者院外管理时间的尝试]

[Attempt to analyze the extrahospital time in managing an acute myocardial infarct patient].

作者信息

Petrov S

出版信息

Vutr Boles. 1984;23(5):82-6.

PMID:6523845
Abstract

The time of prehospital attendance of patients with acute myocardial infarction is analyzed for the period 1970-1983 by an emergency team according to a scheme of the stages and time for transport, communication and therapy respectively. The duration of the separate stages is determined and a conclusion is drawn that the time for communication and transport is most protracted, and the time for the therapy of a non complicated infarction--is one fourth of the total attendance time. Potentialities are looked for in order to shorten the stages by the regulation of the team, including a stretcher-bearer and a nurse, the necessity of qualification of all teams. The statistical processing of the material is presented as well as a scheme with the outcome of 230 myocardial infarctions--survival, total mortality rate and lethality, 314 patients were followed up as regards hospitalization and a correlation is presented of the members of the team and attendance time with respresentative and chronometric methods.

摘要

一个急救团队根据运输、通信和治疗阶段及时间的方案,对1970 - 1983年期间急性心肌梗死患者的院前出诊时间进行了分析。确定了各个阶段的时长,并得出结论:通信和运输时间最长,非复杂性梗死的治疗时间占总出诊时间的四分之一。通过对包括担架员和护士在内的团队进行规范来寻找缩短各阶段时间的潜力,以及所有团队具备资质的必要性。还介绍了材料的统计处理情况,以及230例心肌梗死患者的结果方案——生存率、总死亡率和致死率,对314例患者的住院情况进行了随访,并采用代表性和计时方法展示了团队成员与出诊时间之间的相关性。

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