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在发达国家,冠心病监护病房(CCU)已很普遍,大都设在人口集中地区,对急性心肌梗塞病人(AMI)实施监护,并对可能发生致命性心律失常的病人及时给予救治。最重要的两种心律失常为心室颤动(VF)和心搏停止。 CCU监护和测试设备全都是在近20年内出现的。从CCU一开始直到现在,在临床需要,研究工作,监护设备及其发展之间,彼此存在相互促进。迄今,各CCU之间的差异亦十分明显;监护设备、设备操作同临床监测需要之间亦存在差距。虽然抗心律失常药物疗法已在所有CCU使用,但应用指征亦不尽相同。究竟哪些心律失常应加以控制,
In developed countries, coronary care units (CCU) have become common, mostly in population-intensive settings. Patients with acute myocardial infarction (AMI) are under custody and those who may have fatal arrhythmia are treated promptly. The two most important arrhythmias are ventricular fibrillation (VF) and asystole. CCU monitoring and testing equipment have all emerged in nearly 20 years. From the very beginning of CCU until now, there is mutual promotion of clinical needs, research work, monitoring equipment and their development. So far, the differences between CCUs have also been very clear. There is also a gap between the operation of monitoring equipment and equipment and the need for clinical monitoring. Although antiarrhythmic drug therapies have been used in all CCUs, indications vary. What arrhythmia should be controlled,