心肌梗死的急性护理
Acute care of myocardial infarction.
作者信息
Gutman M B, Lee T F, Gin K, Ho K
机构信息
Department of Emergency Medicine, Vancouver Hospital and Health Sciences Centre, British Columbia.
出版信息
Can Fam Physician. 1996 Jul;42:1330-9.
Abstract
Patients with acute myocardial infarct (AMI) need rapid diagnosis and prompt initiation of thrombolytic therapy. Patients with suspected cardiac ischemia must receive a coordinated team response by the emergency room staff including rapid electrocardiographic analysis and a quick but thorough history and physical examination to diagnose AMI. Thrombolysis and adjunct therapies should be administered promptly when indicated. The choice of thrombolytics is predicated by the location of the infarct.
摘要
急性心肌梗死（AMI）患者需要快速诊断并及时开始溶栓治疗。疑似心脏缺血的患者必须得到急诊室工作人员的协同反应，包括快速心电图分析以及快速但全面的病史采集和体格检查，以诊断AMI。如有指征，应及时给予溶栓及辅助治疗。溶栓药物的选择取决于梗死部位。
相似文献
1
Acute care of myocardial infarction.心肌梗死的急性护理
Can Fam Physician. 1996 Jul;42:1330-9.
2
Which patients with suspected myocardial ischemia and left bundle-branch block should receive thrombolytic agents?哪些疑似心肌缺血且伴有左束支传导阻滞的患者应接受溶栓药物治疗？
Ann Emerg Med. 2001 May;37(5):439-44. doi: 10.1067/mem.2001.114761.
3
Acute myocardial infarction: strategies for thrombolytic therapy.
Br J Hosp Med. 1995;53(11):575-80.
4
Rapid initiation of thrombolytic therapy for acute MI.急性心肌梗死溶栓治疗的快速启动。
Crit Care Nurse. 1989 Feb;9(2):55-61.
5
[Early prehospital thrombolysis in acute myocardial infarct: a moral obligation?].[急性心肌梗死的早期院前溶栓：一种道德义务？]
Ital Heart J Suppl. 2003 Feb;4(2):102-11.
6
[Prehospital management of acute myocardial infarct in an experimental metropolitan system of medical emergencies].[大都市医疗急救实验系统中急性心肌梗死的院前管理]
G Ital Cardiol. 1996 Jun;26(6):657-72.
7
[Thrombolytic therapy in acute myocardial infarct--is it being used to the fullest?].[急性心肌梗死中的溶栓治疗——是否得到了充分应用？]
Rev Port Cardiol. 1996 Dec;15(12):867-76, 863.
8
[Planar myocardial scintigraphy with 99mTc sestamibi for the evaluation of the infarct area and the efficacy of the thrombolytic therapy].
Minerva Cardioangiol. 1999 Mar;47(3):59-64.
9
[A myocardial infarct with a depressed ST segment: is thrombolysis useful?].[伴有ST段压低的心肌梗死：溶栓治疗是否有用？]
G Ital Cardiol. 1995 Feb;25(2):249-55.
10
Prehospital thrombolysis in acute myocardial infarction.急性心肌梗死的院前溶栓治疗。
Eur J Emerg Med. 1998 Dec;5(4):471-9.
本文引用的文献
1
The diagnosis of thoracic aortic dissection by noninvasive imaging procedures.通过无创成像程序诊断胸主动脉夹层。
N Engl J Med. 1993 Jan 7;328(1):1-9. doi: 10.1056/NEJM199301073280101.
2
Aspirin versus heparin to prevent myocardial infarction during the acute phase of unstable angina.阿司匹林与肝素预防不稳定型心绞痛急性期心肌梗死的比较。
Circulation. 1993 Nov;88(5 Pt 1):2045-8. doi: 10.1161/01.cir.88.5.2045.
3
Postprandial angina pectoris: clinical and angiographic correlations.餐后心绞痛：临床与血管造影相关性
J Am Coll Cardiol. 1994 Mar 1;23(3):627-9. doi: 10.1016/0735-1097(94)90746-3.
4
Biochemical markers of myocardial damage.心肌损伤的生化标志物。
Clin Biochem. 1995 Feb;28(1):1-29. doi: 10.1016/0009-9120(94)00065-4.
5
Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients.冠心病监护病房中心肌梗死的治疗。250例患者的两年经验。
Am J Cardiol. 1967 Oct;20(4):457-64. doi: 10.1016/0002-9149(67)90023-9.
6
Changing presentation of myocardial infarction with increasing old age.随着年龄增长心肌梗死表现形式的变化。
J Am Geriatr Soc. 1986 Apr;34(4):263-6. doi: 10.1111/j.1532-5415.1986.tb04221.x.
7
Physicians' estimates of the probability of myocardial infarction in emergency room patients with chest pain.
Med Decis Making. 1986 Jan-Mar;6(1):12-7. doi: 10.1177/0272989X8600600103.
8
Intravenous and intracoronary fibrinolytic therapy in acute myocardial infarction: overview of results on mortality, reinfarction and side-effects from 33 randomized controlled trials.急性心肌梗死的静脉及冠状动脉内纤维蛋白溶解疗法：33项随机对照试验的死亡率、再梗死及副作用结果概述
Eur Heart J. 1985 Jul;6(7):556-85. doi: 10.1093/oxfordjournals.eurheartj.a061905.
9
Diltiazem and reinfarction in patients with non-Q-wave myocardial infarction. Results of a double-blind, randomized, multicenter trial.
N Engl J Med. 1986 Aug 14;315(7):423-9. doi: 10.1056/NEJM198608143150704.
10
Rapid serial enzyme measurements in evaluation of patients with suspected myocardial infarction.快速连续酶测定在疑似心肌梗死患者评估中的应用
Am J Cardiol. 1989 Mar 15;63(11):652-5. doi: 10.1016/0002-9149(89)90245-2.
Zotero 插件