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消防天地
Зઃ٫˴ൡ (Chief Complain) ٙसًၾତʔఱ݊ ίːᛔА၍शष(Cardiovascular Diseased
ːЄ෦सًkၾ᙮ሜԨܔᙄਗ਼ઃ٫ ᔊ၈ CVD) ிϓٙϥɳࣩʕఱϞ 40% ݊ܢ
ֻఱڐ˲ቇٙܢહபᔼ৫ஈໄdίೌᇞཥஷ ڿːस (ACS)fACS จܸڿًਗএኣɪഎᅵ
෯ॎʿАࣼٙҖϓdԴڿًਗএኣڜ෦ٙɓ
జᔼ৫ܢહܝdҢࡁԘήਗ਼હᚐԓትΣܢൢf
ӻΐҷᜊd݊ࡈஹᚃਗ࿒ᜊʷٙशषdॹА
ɓආՑܢൢژɹdͭՍΣᏨෆ१ɽʫ߅
(Ischemia) ÷ฦෆ (Injury) ÷෦ (Infarction)d
ACSdᏨෆᚐଣࢪͭՍ callᏨෆ EKGdᎇ
הፗ 3I ٙᜊʷdՉዚᔷ݊ᗫஹٙdϾڢዹͭ Firefighting World
ܝකၾᚐଣࢪආБʹफdΝࣛග EKG ɰਂλ शषd௰ኬߧːഏ೨ (Angina) ઋҖ̋ࠠၾܢ
ədҢࡁၾᚐଣࢪҴഹ EKG ɓᗙкᛘɓᗙຟຟ ːЄ෦ (Acute Myocardial Infarctiondᔊ၈
ׂഹd೯ତəۃኣ෦ (Anterior Infarction)dᚐ AMI) ٙၝΥषًf
ଣࢪኪ֒ͭ৵ᔷԒΣܢહ܃ᄿᅧ༸jʫ߅ A ◆急性冠心症 (ACS) 三大類:
ଡ଼dɓ໊ᔼᚐɛࡰላ̈Ըਗ਼ઃ٫પආ̘ܢહd ( 一 ) 不穩定型心絞痛
(Unstable Anginadᔊ၈ UA)
ᎇܝઃ٫ٙ᙮ႼՑdܢൢᔼࢪึൢəːᛔʫ߅
h ़೨೯͛ί;ࢹٙࣛࡉe༶ਗٙࣛࡉf
ᔼࢪɓΝΣઃ٫᙮ႭषઋʿᔼٙԸᖃ̘
h ܵᚃ़೨ࣛග >20min.d˲͜ა
এdԨਗ਼ઃ٫ֻːኬ၍܃d᙮ΣҢࡁଉଉᒴ
ᗳ (Nitrate) ᖹي ( νjNTG) א˟
ədعଅΈၾҢࡁહᚐɛࡰ༸ᑽfཀə 1 ˂
೨ᖹԸᇠ༆सًf
Ύ̘ᔳவЗषઃࣛdٝ˼ਂə PTCA( ͤ h ฏԸฏ੶ड़ٙ೨ชd̙ঐᜫွྫྷʕ
ڿًਗএА၍ϓҖஔ ) Ԩ׳ə 1 ˕ Stent ( ˕ݖ )d ٙɛ೨Ց፴Ըdא़݊೨ٙࣛගһڗ
ͦۃًرᖢ֛ίषג;ቮʕfΪމҢࡁٙуϘ೯ һᘌࠠd़೨೯Ъٙ᎖ଟɰˢ̻੬ᒔ
ତdуϘஷజdԨՑቇٙᔼ৫dઃ٫षઋᖢ ࠅεf
֛əɨԸdӚϞᜫՉषઋెʷdҢࡁਂՑəၡ ( 二 )ST 段上升型心肌梗塞
ܢᔼᐕહᚐΝٙၚग़ၾͦᅺdԟ͍݊Right ( ST elevation Myocardial Infarctiond
ᔊ၈ STEMI )
patient to the right place at the right time for right
h सًһ̋੶डၾᘌࠠdܵᚃٙࣛග̙
serviced್Ͼவਖ਼ุٙЪމၾஈໄ͍݊ɓছʱ
ঐ൴ཀ 30min.d˲ːЄ९ٙ࠽ʺ
ඟٙ EMT-2 ఱঐ༺ϓٙਕf
৷ ( νjTroponin I)d˲ EKG яତ
急性冠心症介紹 Introduction to Acute ST ݬɪʺf
Coronary Syndrome(ACS) ( 三 ) 非 ST 段上升型心肌梗塞
( Non ST elevation Myocardial
◆冠狀動脈分布:( 如圖 1)
Infarctiondᔊ၈ NSTEMI )
h सًᗳЧʔᖢ֛ۨːഏ೨dޟЇ̙ঐ
һᘌࠠd˲ːЄ९ٙ࠽ʺ৷ ( νj
Troponin I)dШEKGяତSTӚϞɪʺf
◆急性冠心症 (ACS) 症狀:
Պۨٙڿːसிϓʘ೨ତуމːഏ೨
(Angina)d੬Ϟۃቦ̸ਉٙᏀࠗชא݊ᏚᏀ
ชdא٫̙ঐึϞӧᆠชאై೨ઋҖdޟЇМ
ᎇഹɨˋe̸ٲאܝߠഃପ͛፧़ً࢛೨
¸ ྡ 1 ڿًਗএʱбྡ
ชfν؈ί;ࢹًٙ࿒ɨܵᚃ൴ཀ 20 ʱᙒٙ
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