急性心肌梗急救处理.ppt

邮s 地区中四医 急性心肌梗死的急救处理 急诊科 刘东利 2014-022 CONTENTS 常规治疗 溶栓治疔 ●PCI ●并法症的治疗 ●早期危险评佔和二级预陇 ●特殊类型心肌梗死 ●年轻人心肌梗死 ●康复治疗 專、医、创、故 常规治疗 Pre-hospital Tasks ● Education硝甘3片5分钟“120“999y ● EMs paramedics e Pre-hospital Trombolysis door -to-needle 30min 、着医、创新、奉献 常枧治疗 Tasks in ER Cardiac markers myoglobin 2h cTnl cTnt 4h ●CK-MB 1.6ng/m1/2h 、着医、创新、奉献 常枧治疗 Tasks in ER ● Nuclear Cardiology 、着医、创新、奉献 常枧治疗 Tasks in ER ● ER procedures “ Transferring should be taken into account” 、着医、创新、奉献 常规治疗 住院后的治疗 O General Procedures (1) 1 Iv line 2 Oxygen and Oximetry blood gas 3 Relief of discomfort a sublingual nitro b i