中国胸痛中心建设的现状与未来.pptVIP

* Greatest emphasis is to be placed on the delivery of reperfusion therapy to the individual patient as rapidly as possible. * So how to improve this situation? If you just want to shorten D2B, you will develop in-hospital green channel. If you want to shorten FMC-to-B, you have to do more than in-hospital green channel, to train the community hospitals and develop a rapid transfer mechanism are necessary. If you want to shorten symptom-onset-to-B, you have to educate the regional population. Certainly, a standardized CPC should go for shortening symptom-onset-to-B. NJE-262308.249skarHR1 * So how to get the target? We established a standardized CPC model by developing a rescue network of CPC. With the founding of CPC, our service for the acute chest pain patients extends to the pre-hospital, connecting seamlessly with pre-hospital and in-hospital. * After inspected the running process, we can divide these CPCs into two models. One is in-hospital green channel model, which try to develop a rapid response flowsheet after the STEMI patients were admitted. D2B or D2N was the major evaluating target. And the another is standardized CPC model, which based on the inhospital green channel, pay more attention to the prehospital works. Besides D2B, FMC2B and Symptom-onset-to-B are the more important targets. * * * * Here is the COMPARISON OF monthly average D2B from the baseline to last month. You can see, after the establishment of CPC, the average D2Bs were under 90mins except one month. And the shortest monthly average D2B was 47mins. * 第16届南方会胸痛中心论坛 中国胸痛中心建设的现状与未来 2014-6-13 武汉 广州军区广州总医院 向定成 全球胸痛中心的发展历史 全球第一家CPC于1981年在美国建立，至今美国已经发展到5000余家,其中900余家已经通过认证 英、法、加、澳、德国等在医院内设立“胸痛中心”，其中德国总体水平处于国际领先 认证体系 美国：SCPC，从国内走向国际认证 德国CPU认证 中国认证体系 CPC显著提高STEMI救治能力 1981年第一家CPC 2000年 D2B 90min的达标率35% 2005年 平均D2B 95min 2010年 平均D2B 65min 德国2012年发表的CPU注册结果 从发病到FMC为2.08h 院前传输EKG79.9% 10min内完成EKG 76.6% 97%接受PPCI治疗 平均D-to-B 31min 中国胸痛中心的发展历史 1996, AMI绿色通道 2002: 1st CPU 2010: 中国