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急性心肌梗死患者院前急救护理进展

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急性心肌梗死(AMI)为当前致死疾病之一,流行病学调查研究表明,急性ST段抬高性心肌梗死(STEMI)的死亡者50%死于发病1 h,且多是致命性心律失常导致的.因此及时有效地进行心源性猝死现场救治非常重要.研究显示,早期药物治疗或者机械灌注均有利于AMI的治疗.院前急救在整个医疗救助系统中所占的比例较大,更是急救过程中的首要一环,为院内抢救提供了帮助.院前急救护理在这一阶段得到了快速的发展,网络通信技术在急救中的运用、优化人员的配置,整合医院资源等,均明显提高了院前急救工作效率.通过对氧流量的控制、较佳吸氧方式、科学病情监护及药物干预,促进患者诊断准确率的提高,效果良好.因此,快速、及时、有效地处理急诊危重症患者并做好现场救护和转运工作非常关键.同时迅速准确地进行院前急救护理,对于抢救患者生命、改善急救预后效果等均有十分重要的意义.因此,本文对AMI患者院前急救护理进展进行综述,以期为AMI的院前急救提供指导.
Progress in pre hospital emergency nursing of patients with acute myocardial infarction
Acute myocardial infarction(AMI)is one of the current fatal diseases.Epidemiological investigation shows that 50%of the deaths of acute ST segment elevation myocardial infarction(STEMI)die within 1 hour of onset,and most of them are caused by fatal arrhythmia.Therefore,timely and effective on-site treatment of sudden cardiac death is very important.Research shows that early drug treatment or mechanical perfusion is beneficial to the treatment of AMI.Pre hospital emergency accounts for a large proportion in the whole medical aid system,and is the first link in the first aid process,providing basis for hospital rescue.Pre hospital emergency nrusing has been rapidly developed at this stage.The application of network communication technology in emergency,optimization of personnel allocation,integration of hospital resources,etc.,have significantly improved the efficiency of pre hospital emergency work.Through the control of oxygen flow,better oxygen inhalation,scientific condition monitoring and drug intervention,the accuracy of patient diagnosis has been improved,with good effects.Therefore,it is critical to quickly,timely and effectively deal with emergency critically ill patients and do a good job in on-site rescue and transportation.At same time,the rapid and accurate pre hospital emergency nuring is of great significance for saving patients'lives and improving the prognosis of emergency.Therefore,this article reviews the progress of pre hospital emergency nursing for AMI patients,in order to provide guidance for pre hospital emergency nursing for AMI.

Acute myocardial infarctionPre hospital emergency nuringNursing measures

郭娟、苗洁

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天津市滨海新区急救分中心通讯调度科,天津 300450

急性心肌梗死 院前急救护理 护理措施

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)