Sefrin P, Gattenlöhner W
MMW Munch Med Wochenschr. 1975 Nov 28;117(48):1919-24.
The increase in internal emergencies compels the doctor on emergency duty to differentiate. For the primary diagnosis, in addition to palpation of the pulse and the patient's utterances of pain, the leads of an ECG are available in the emergency ambulance. Therefore tachycardias, bradycardias and arrhythmias can be differentiated. The question of the therapeutic consequences in the individual case according to the classification of these different forms of rhythmic distrubances by the doctor first treating the case are discussed. General guiding principles for treatment are pointed out.
内科急症数量的增加迫使急诊医生进行鉴别诊断。对于初步诊断,除了触诊脉搏和患者诉说疼痛外,急诊救护车上还备有心电图导联。因此,可以区分心动过速、心动过缓和心律失常。文中讨论了首诊医生根据这些不同形式的节律紊乱分类对个别病例的治疗后果问题,并指出了一般治疗指导原则。