心脏远程实时监护系统在院前抢救中的应用
Journal of Practical Electrocardiology JS(2014)
Abstract
目的:探讨心脏远程实时监护系统在院前抢救中临床应用价值。方法对860例患者应用心脏远程实时监护预警机( iHolter )进行实时监测,对心电异常情况自动报警。结果860例患者中分别监测到束支传导阻滞186例、室性早搏126例、房室传导阻滞64例。监测过程中,诊断并指导治疗心律失常434例(50.5%),其中严重心律失常36例,高危心律失常16例;急性心肌梗死4例;早期发现并抢救成功者合计11例。结论心脏远程实时监护系统有利于及时发现并诊疗心律失常,降低患者心脏猝死的风险,在院前抢救中具有良好的应用前景。
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Key words
cardiac remote real-time monitoring system,pre-hospital rescue,arrhythmias,car-diac sudden death
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