新一代冠心病监护病房的影响。
Impact of the new generation coronary care unit.
作者信息
O'Rourke M F, Walsh B, Fletcher M, Crowley A
出版信息
Br Med J. 1976 Oct 9;2(6040):837-9. doi: 10.1136/bmj.2.6040.837.
Abstract
A 30-bed coronary care unit with facilities for fluoroscopy, haemodynamic monitoring, mechanical heart assistance, and long-term electrocardiographic monitoring operated at a reasonable cost over five years. Much of the work was entrusted to trained nurses, and there was close consultation with cardiac surgeons over those patients who needed catheterisation or surgery. New procedures greatly reduced the numbers of early deaths from cardiac arrest and cardiac failure but had less influence on late mortality. Hospital mortality for all 3353 patients was 6-8%, and for patients under 65 with definite infarction, who were admitted direct it was 5-7%.
摘要
一个拥有30张床位的冠心病监护病房，配备了透视、血流动力学监测、心脏机械辅助和长期心电图监测等设备，在五年时间里以合理的成本运行。大部分工作委托给经过培训的护士，对于那些需要导管插入术或手术的患者，会与心脏外科医生进行密切会诊。新的治疗方法大大降低了心脏骤停和心力衰竭导致的早期死亡人数，但对晚期死亡率的影响较小。3353名患者的医院死亡率为6 - 8%，对于直接入院的65岁以下明确梗死患者，死亡率为5 - 7%。
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