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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.46 no.6, 2016년, pp.804 - 812
안혜미 (건국대학교 의학전문대학원 예방의학교실) , 김형수 (건국대학교 의학전문대학원 예방의학교실) , 이건세 (건국대학교 의학전문대학원 예방의학교실) , 이정현 (건국대학교 의학전문대학원 예방의학교실) , 정효선 (건국대학교 의학전문대학원 예방의학교실) , 장성훈 (건국대학교 의학전문대학원 예방의학교실) , 이경룡 (건국대학교 의학전문대학원 응급의학교실) , 김성해 (건국대학교 의학전문대학원 내과학교실) , 신은영 (한양여자대학교 보건행정과)
Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the Nat...
핵심어 | 질문 | 논문에서 추출한 답변 |
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급성심근경색에 의한 사망은 주로 언제 일어나는가? | 급성심근경색에 의한 사망은 주로 증상 발현 후 1시간 이내로, 대부분은 병원에 도착하기 이전에 일어나고 있다[2,3]. 따라서, 급성 심근경색증 특히 ST 상승 심근경색(ST elevation Myocardial Infarction)의 치료는 빠른 시간 내에 폐쇄된 관상동맥을 재관류 시켜주는 것이며, 이를 위해서는 증상이 나타난 시점부터 최대한 빨리 치료가 가능한 의료기관을 방문하여야 한다. | |
심장질환은 무엇으로 구분되는가? | 4명으로 매년 증가하고 있으며, 2014년의 경우에는 사망원인 1위인 암 다음으로 높게 나타났다. 심장질환은 허혈성 심장질환(심근경색과 협심증 등)과 기타 심장질환(심부전과 심내막염 등)으로 구분되는데, 급성심근경색은 허혈성 심장질환으로 인한 사망의 약 71%를 차지하고 있다[1]. | |
캐나다의 경우 급성심근경색 환자의 구급대원 접촉 후 90분 이내 재관류 시행을 위한 우회(bypass) 전략을 실시하는 이유는? | 캐나다의 경우, 급성심근경색 환자의 구급대원 접촉 후 90분 이내 재관류 시행을 위한 우회(bypass) 전략을 실시하고 있다[17]. 이는 급성심근경색 환자를 실제 치료 가능한 병원에 직접 이송하고, 환자가 병원에 도착하기 이전에 의료진을 대기시킴으로써 환자가 응급실 도착 후 곧장 치료 가능하도록 하기 위함이다. 그 결과 환자의 구급대원 접촉부터 90분 이내 재관류(ballon) 비율이 2년 사이에 28. |
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