Bertazzoni G, Geniuini I, Giunta G, Rapino S, Rosa A, Manzi P, Suppa M, Aguglia F
Cattedra di Medicina d'Urgenza, Università degli Studi di Roma La Sapienza.
Clin Ter. 1994 Sep;145(9):205-11.
The above study was aimed at evaluating the "in-hospital precoronary times" of patients with acute myocardial infarction presenting to the Emergency Department of Policlinico Umberto I, Rome. From April to August 1993, 58 cases of acute myocardial infarction were admitted. In six of these, over 24 hrs had elapsed before admission. In 24 of the remaining cases thrombolysis was indicated. Mean time before admission to the coronary unit was 5 hrs for 52 patients. Mean in-hospital delay before starting thrombolysis was 40 +/- 20 minutes; mean delay before admission to the coronary unit was 3 h/45 min. In-hospital time before thrombolysis was one of the lowest in the literature and shows the efficient organization of the department. Delay until transfer to the coronary unit was long and is a sign of the paucity of these specialized beds. Therefore, the possibility to perform thrombolytic therapy immediately in the emergency department becomes even more essential.
上述研究旨在评估前往罗马翁贝托一世综合医院急诊科就诊的急性心肌梗死患者的“院内冠状动脉开通前时间”。1993年4月至8月，收治了58例急性心肌梗死患者。其中6例在入院前已过了24小时以上。其余病例中有24例需要进行溶栓治疗。52例患者入院前到冠心病监护病房的平均时间为5小时。开始溶栓治疗前的平均院内延迟时间为40±20分钟；入院前到冠心病监护病房的平均延迟时间为3小时45分钟。溶栓治疗前的院内时间是文献中最短的之一，显示了该科室高效的组织安排。转到冠心病监护病房的延迟时间很长，这表明这类专科病床不足。因此，在急诊科立即进行溶栓治疗的可能性变得更加重要。
