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目的通过报道飞行中4例乘客冠心病发作机上救治经过,旨在强调机组人员在“客舱安全”问题中的重要作用,探讨飞行中救治冠心病患者,降低死亡率的方法,从而保证机组成员和旅客的安全与健康,提高民航空中医学服务质量。方法4例冠心病患者发病后,均获得了有效的救治,包括采取最佳体位、舌下含服硝酸甘油、松开领扣、吸氧等。机组人员报告机长,寻求旅客中医务人员的指导;与地面联系,及早送医院治疗。同时配合以精神、心理疗法,安慰病人。结果4例患者经过救治全部存活,其中1例服药症状缓解后再次发作,紧急迫降后送院治疗获救。结论由于乘务员正确的诊断和护理,成功地救治了病人,证明乘务员接受正规医疗救护训练是十分必要的。此外,机上药箱的合理配置也是不容忽视的。
The purpose of this study was to report on the rescue and treatment of 4 patients with coronary heart disease in flight in order to emphasize the important role of aircrew in the issue of “cabin safety” and to explore ways to reduce the mortality of patients with coronary heart disease in flight so as to ensure that crew members and Passenger safety and health, improve the quality of civil aviation medical services. Methods Four patients with coronary heart disease developed effective treatment, including taking the best position, sublingual nitroglycerin, loosening the collar, and oxygenation. Crew report captain, seek guidance of travelers in the medical staff; contact with the ground, as soon as possible to the hospital for treatment. At the same time with the spirit of psychotherapy, comfort patients. Results All 4 patients survived after treatment, of which 1 patient was relieved and then re-attacked. After emergency landing, he was hospitalized and rescued. Conclusion Due to the correct diagnosis and caretaker flight attendants, successful treatment of the patient proved attendant attending formal medical aid training is very necessary. In addition, the rational allocation of medical kits can not be ignored.