综合内科病房收治的心肌梗死患者管理欠佳。
Unsatisfactory management of patients with myocardial infarction admitted to general medical wards.
作者信息
Lawson-Matthew P J, Wilson A T, Woodmansey P A, Channer K S
机构信息
Royal Hallamshire Hospital, Sheffield.
出版信息
J R Coll Physicians Lond. 1994 Jan-Feb;28(1):49-51.
Patients admitted with acute myocardial infarction to general medical wards fared less well than those admitted over the same period to the coronary care unit. The median age of the 119 patients admitted to the general wards was 75 years, compared to 64 years for those on the coronary care unit. Although 13 of the 119 fulfilled the local guidelines for thrombolysis, none received it, only 64% were given aspirin and 49% nitrates. The death rate for these patients was 29% compared to 12% of those given thrombolysis on the coronary care unit and 26% of those who were ineligible for thrombolysis but had been admitted to the coronary care unit. Of the survivors on the general wards, 80% were given aspirin as secondary prevention, and 37% were given a beta-adrenergic blocker. None was referred to the hospital cardiac rehabilitation programme.
入住综合内科病房的急性心肌梗死患者的治疗效果不如同期入住冠心病监护病房的患者。入住普通病房的119名患者的中位年龄为75岁，而冠心病监护病房的患者为64岁。虽然119名患者中有13名符合当地溶栓指南，但无人接受溶栓治疗，只有64%的患者服用了阿司匹林，49%的患者服用了硝酸盐。这些患者的死亡率为29%，而在冠心病监护病房接受溶栓治疗的患者死亡率为12%，不符合溶栓条件但入住冠心病监护病房的患者死亡率为26%。在普通病房的幸存者中，80%的患者接受了阿司匹林作为二级预防，37%的患者接受了β-肾上腺素能阻滞剂治疗。无人被转诊至医院心脏康复项目。
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