[1]卜 军,陈 茂,程晓曙,等.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)[J].南方医科大学学报,2020,(02):147-151.[doi:10.12122/j.issn.1673-4254.2020.02.01]
 Consensus of Chinese experts on diagnosis and treatment processes of acute myocardialinfarction in the context of prevention and control of COVID-19 (first edition)[J].Journal of Southern Medical University,2020,(02):147-151.[doi:10.12122/j.issn.1673-4254.2020.02.01]
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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)()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2020年02期
页码:
147-151
栏目:
出版日期:
2020-02-29

文章信息/Info

Title:
Consensus of Chinese experts on diagnosis and treatment processes of acute myocardial infarction in the context of prevention and control of COVID-19 (first edition)
作者:
卜 军陈 茂程晓曙董一飞方唯一葛均波龚艳君何 奔黄 岚霍 勇贾绍斌蒋 峻李 悦李 昭梁 春刘学波刘震宇马 翔马依彤钱菊英沈成兴沈涤非沈 雳石瑞正苏 晞孙英贤唐熠达王建安吴 岳向定成徐通达徐亚伟杨跃进曾和松张 澄张国刚张瑞岩张书宁张 运张 钲郑 博周 宁
关键词:
新冠肺炎心肌梗死防护转运溶栓
Keywords:
novel coronavirus pneumonia myocardial infarction protection transshipment thrombolysis
DOI:
10.12122/j.issn.1673-4254.2020.02.01
文献标志码:
A
摘要:
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。
Abstract:
The SARS-CoV-2 epidemic starting in Wuhan in December, 2019 has spread rapidly throughout the nation. The control measures to contain the epidemic also produced influences on the transport and treatment process of patients with acute myocardial infarction (AMI), and adjustments in the management of the patients need to be made at this particular time. AMI is characterized by an acute onset with potentially fatal consequence, a short optimal treatment window, and frequent complications including respiratory infections and respiratory and circulatory failure, for which active on-site treatment is essential. To standardize the management and facilitate the diagnosis and treatment, we formulated the guidelines for the procedures and strategies for the diagnosis and treatment of AMI, which highlight 5 Key Principles, namely Nearby treatment, Safety protection, Priority of thrombolysis, Transport to designated hospitals, and Remote consultation. For AMI patients, different treatment strategies are selected based on the screening results of SARS-CoV-2, the time window of STEMI onset, and the vital signs of the patients. During this special period, the cardiologists, including the interventional physicians, should be fully aware of the indications and contraindications of thrombolysis. In the transport and treatment of AMI patients, the physicians should strictly observe the indications for patient transport with appropriate protective measurements of the medical staff.

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更新日期/Last Update: 2020-03-14