新型冠状病毒肺炎防控形势下急性心肌梗死诊治流程和路径的中国专家共识(第1版)

Jun BU, Mao CHEN,Xiaoshu CHENG,Yifei DONG,Weiyi FANG,Junbo GE,Yanjun GONG, Ben HE,Lan HUANG,Yong HUO,Shaobin JIA,Jun JIANG,Yue LI,Zhao LI,Chun LIANG,Xuebo LIU,Zhenyu LIU,Xiang MA,Yitong MA,Juying QIAN,Chengxing SHEN, Difei SHEN,Li SHEN,Ruizheng SHI,Xi SU,Yingxian SUN,Yida TANG,Jianan WANG, Yue WU,Dingcheng XIANG, Tongda XU,Yawei XU,Yuejin YANG,Hesong ZENG, Cheng ZHANG,Guogang ZHANG,Ruiyan ZHANG,Shuning ZHANG,Yun ZHANG,Zheng ZHANG,Bo ZHENG, Ning ZHOU

Nan fang yi ke da xue xue bao = Journal of Southern Medical University（2020）

Cited 18|Views115

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Abstract

自2019年12月以来,新型冠状病毒肺炎在武汉感染流行并迅速蔓延全国各地,根据国家整体防控方案,绝大部分地区启动限制出入、限制交通等措施.此特殊形势对于急性心肌梗死患者的转运救治流程提出了新的要求.急性心肌梗死发病急、致死性高、最佳救治窗口期短、且容易合并呼吸系统感染及呼吸、循环衰竭,更加需要就地积极治疗.为规范管理、易化流程,现制定急性心肌梗死诊治流程和路径策略,其核心是就近原则、安全防护原则、溶栓优先原则、定点转运原则、远程会诊原则.对于急性心梗患者,应排查新型冠状病毒肺炎,针对发病时间窗,选择不同的治疗策略.在这一特殊时期,包括介入医师在内的心血管医生都应掌握溶栓的禁忌症和适应证.在急性心肌梗死患者的转运和治疗中,应严格掌握转运及手术指征,严格按照要求对感染者及医务工作者进行防护.

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Key words

myocardial infarction,novel coronavirus pneumonia,protection,thrombolysis,transshipment

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