新型冠状病毒肺炎疫情期间急性心肌梗死患者急诊介入手术的应急策略

Emergency strategies for acute myocardial infarction patients with emergency interventional surgery during the epidemic period of Coronavirus Disease 2019

  • 摘要: 新型冠状病毒肺炎(COVID-19)具有强传染性、人群普遍易感性、高病死率等特点;而急性心肌梗死具有发病迅速、最佳救治窗口期短、病情危重等特点,其救治关键在于选择最佳策略以最大限度地提高再灌注效率。目前疫情防控形势严峻,对急性心肌梗死行急诊腔内介入治疗等临床工作也提出了新的要求。为规范救治流程,本研究对心血管医务人员的岗前培训,首诊COVID-19筛查,急性心肌梗死患者病情评估流程,以及急性心肌梗死行急诊介入手术的适应证、手术管理策略等进行了探讨。

     

    Abstract: Coronavirus Disease 2019 (COVID-19) is characterized by strong infectivity, widespread susceptibility and high mortality. Acute myocardial infarction has the characteristics of rapid onset, short window of treatment and critical status of disease, and the key to the treatment is to choose the best strategy to maximize the efficiency of reperfusion. At present, under the severe situation of epidemic prevention and control, new requirements are put forward for clinical works such as emergency endovascular interventional therapy for acute myocardial infarction. In order to standardize the treatment process, this study aims to discuss the pre-job training of cardiovascular medical staffs, the screening for initial diagnosis of COVID-19, the assessment processes of patients with acute myocardial infarction, and the indications and operation management strategies of emergency interventional surgery for acute myocardial infarction.

     

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