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目的:探讨在信息系统支持下转运急性ST段抬高型心肌梗死患者的可行性。方法:分析2016年1月至2016年12月中山大学附属中山市人民医院急救中心在新的救治流程下从外院转运325例急性ST段抬高型心肌梗死患者的临床资料,并与2015年同期转运病例作为对比,总结操作流程、转运方法及术前护理。结果:323例患者被成功救治,新救治流程平均首次医疗接触(FMC)-进门时间为(41.5±14.0)min;而实施前平均FMC-进门时间为(82.0±15.0)min,抢救时间缩短约41 min。结论:信息系统支持下急性ST段抬高型心肌梗死患者院前救治是可行的,并可缩短抢救时间,但需要对转运医师和急救护士进行严格的培训。
Objective: To explore the feasibility of transporting patients with acute ST-segment elevation myocardial infarction under the support of information system. Methods: The clinical data of 325 acute ST-segment elevation myocardial infarction patients transplanted from the outer hospital under the new treatment procedure from January 2016 to December 2016 were analyzed and compared with the same period in 2015 Transport cases as a contrast, summarize the operational procedures, transport methods and preoperative care. Results: 323 patients were successfully treated, meanwhile, the mean first FMC-door entry time was (41.5 ± 14.0) min; while the mean FMC-entry time before implementation was (82.0 ± 15.0) min, and the rescue time was reduced by about 41 min. CONCLUSION: Prehospital treatment of patients with acute ST-segment elevation myocardial infarction supported by information systems is feasible and can shorten the duration of the rescue. However, rigorous training is required for the transfer physicians and emergency nurses.