Page 70 - 2018消防月刊9月份

緊急救護勤務與

急性冠心症概述

Overview of Emergency Ambulance Service and Acute Coronary Heart
Disease (CHD)

◎文 / 臺北市政府消防局 劉彥均、羅子惟
◎圖 / 劉彥均 提供
˜Շ໮{{Շ໮{{dʕ੧ 93 խ̣dʕ੧ 93 ʱඟٙહᚐԓɪӚϞৣ೯ 12 ኬ೻ (12 lead) א 3 ኬ

ԓɪӲ׌ઃ٫ 1 Τdϋߒ 42 ๋dChest Tightness ೻ (3 lead) ːཥྡ (Electrocardialgramdᔊ၈ ECG

ΥԻ Hypoxiadͦۃจᗆ૶፴dOximeterj80%d א EKG)dה˸ೌجͭуһଉɝ̘ҬࡡΪd್Ͼܢ
௦๨ஷٝ´´ᔼ৫๟௪ܢહnn™dɓɪԓͭՍ ׌ڿːस (Acute Coronary Syndromedᔊ၈ ACS)

Ҵৎೌᇞཥխ௿ഹહӨહᚐාਕܸ౨ʕːf ձ٬ࣼ෦ (Pulmonary Embolismdᔊ၈ PE) ேϞ̙
வ݊ 1 З 42 ๋Ӳ׌dݔ˚ɪʹίʮ̡ɪफ ঐ݊ிϓઃ٫வϣԒ᜗ʔቇٙࡡΪf

್ׁࣛԒ᜗ೌɢeʔቇdҢࡁહᚐɛࡰՑ༺ࣛd ڌ 1 এร੶ܓ
ઃ٫͍ࠎίࣲɪdᕐ˓␀И঍ɹႭ༸ :˜Ңٙ঍
脈搏價數 性 質
λైλၡλซΟdϾ˲ᙂ੻λఁdіʔՑंdԒ
0+ ೌجᙃ࿟Ցএร༪ਗ
᜗ɰӚʡჿɢं™dႭ༑ႧंᛦҥԨɪंʔટɨ
1+ এร੶ܓࢮd˲এ༪ቤషಯЭ
ंdΝԫίࣙɖᄘɞЉήႭj˜ܣჿڽ̈வჿε
2+ ͍੬এร੶ܓd࢙׸ᙃ࿟Ց
Ϩਧk˼Ԓ᜗λΏߚl™˜˼࡝࡝ίਂʡჿԫઋk
3+ ੶ϾϞɢٙএ༪ (bounding)
࡝࡝ʔബ؂ۃϞӚϞႭࡳ༁ʔബ؂k™ኪڗɓᗙ
༔ਪष̦dɓᗙࣅ̈əАᏀዚၾАःዚટɪdҢ ˜Ыତί঍ɹٙ೨݊ܣჿᅵٙ೨ճkϞ

ɰක֐ᛓൢdխіࠪ (Breathing Sound) ૶ယ͍ ӚϞᔷ୅Ցߠ௅̘ճkܵᚃ೨ٙࣛගɽߒε
੬ӚϞ΂ОᕏࠪdШխіً࿒૵ҞdᎇܝАःዚ ɮknn™ኪڗਪഹତष̦ᗙңɪ͛նᅄ൥ᅰኽ

ʔᓙ೯̈˜༻nn༻nn༻nn™ٙᙆͪᑊdፃ ί˓ࢁɪdϤࣛઃ٫խіఁٙઋرһ̋ᄌədА
࿇ᜑͪഹ SpO2j80%e̸ਉʃ˙ࣸɿٙএላت ःዚᅰ࠽༪Ϋə 80%dխіႾпЄ (Muscles of

ۨɰ͂ʔՑɓ̒dΫཀ᎘Ꮸݟəኬᇞၾઃ٫ٮ᜗ Respiration) ɰක֐͜ɢd᎕௅Շਉٙ঍ᕁԪ߉
͋૓๝ܓdኬᇞટ੻ӪӪٙdࡀ݊ٮ᜗͋၌๝ Є (Sternocleidomastoid) ദ੻һ̋׼ᜑd໖௅ٙЄ
ܓ೹૭dͭ৵Ꮝઃ٫ɪəڢΎխіۨࠦ໅ (Non- Ђ໊ɰ͍ί͜ɢഹdίխіਗɢ (Power) ၾःं

rebreathing Maskdᔊ၈ NRM)dϤࣛٙ SpO2 ɪ (Oxygen) ேʔԑٙઋҖɨdҢࡁӔ֛౤ʺःंط

ʺՑə 86%dί̤ࣙٙ 1 ࡈኪڗ͍ርɢᏀഹАᏀ ᐕഃॴd౤৷Ցə೤፴ଢ (Bag Valve Maskdᐵᄳ
ࠇdАᏀඎə఻ϣʥᜑͪ ErrordҢන˓࿟əઃ٫ BVM)dৣΥઃ٫ٙխі᎖ଟၾϣᅰഗʚfҢࡁɓ
ዛਗএ (Radial Artery)d೯ତএร༪ٙ੶ܓɽߒ 1+ ᗙܠϽഹषઋdɓᗙਗ਼ሽίዄݖɪٙઃ٫પɪԓi

( νڌ 1) ˲༰࿔dАःዚᜑͪٙএร஺ଟ̥Ϟ 54/ ঍ై (Chest Tightness)/ ঍೨ (Chest Pain)eڽиϨ

min.dϤࣛϤՍː༁ʔຫක֐ᕿဲϞ̙ঐ݊ॹА׌ (Cold Sweating)eএรяତᇠ࿔ (Bradycardia)eԒ
঍೨ (Ischemic Chest Pain)dШ݊ڢ੬፲ኴίɓছ ᜗ೌɢ (Weakness)e⢑ːซΟ (Nausea)nndவ

68 消防天地 FIRE PREVENTION & RESCUE SECTION