Mangan B
Department of Cardiology, Royal North Shore Hospital, St Leonards, NSW, Australia.
Am J Crit Care. 1996 Nov;5(6):406-11.
Segregating patients into small coronary care units began in the 1960s. This step was deemed necessary for two reasons: (1) the high mortality and often profound morbidity of patients who had acute myocardial infarction and (2) the boom in treatment technologies, with the introduction of bedside oscilloscopes, defibrillation, and mechanical and pharmacological means of resuscitation and pacing. Another series of technology booms in cardiology has occurred in the 1990s. This new technology and other associated factors may signal the need for reviewing the cardiac care environment. This article presents the evolution of acute care in cardiology from the 1960s to 1996 and questions the continuing need for small, highly staffed cardiac care units. In the current climate of technological refinements, improved nursing education, and a large and diverse population of cardiovascular patients, these units may be redundant.
将患者分入小型冠心病监护病房始于20世纪60年代。采取这一步骤有两个原因：（1）急性心肌梗死患者的高死亡率以及通常严重的发病率；（2）治疗技术的蓬勃发展，包括床边示波器、除颤以及复苏和起搏的机械和药物手段的引入。心脏病学领域的另一系列技术繁荣发生在20世纪90年代。这项新技术和其他相关因素可能表明需要审视心脏护理环境。本文介绍了从20世纪60年代到1996年心脏病学急性护理的演变，并质疑对人员配备充足的小型心脏监护病房的持续需求。在当前技术不断完善、护理教育有所改善以及心血管患者数量众多且多样化的情况下，这些病房可能是多余的。
