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            Зઃ٫˴ൡ (Chief Complain) ٙसًၾତ൥ʔఱ݊                       ίːᛔА၍शष(Cardiovascular Diseased

            ːЄ૚෦सً෗kၾ࢕᙮՘ሜԨܔᙄ΋ਗ਼ઃ٫৔                              ᔊ၈ CVD) ிϓٙϥɳࣩ΁ʕఱϞ 40% ݊ܢ׌
            ֻఱڐ˲ቇ຅ٙܢહப΂ᔼ৫ஈໄdίೌᇞཥஷ                              ڿːस (ACS)fACS จܸڿًਗএኣɪഎᅵ౴
                                                               ෯ॎ൓ʿАࣼٙҖϓdԴڿًਗএኣڜ෦ٙɓ
            జᔼ৫ܢહܝdҢࡁԘ஺ήਗ਼હᚐԓትΣܢൢf
                                                               ӻΐҷᜊd݊ࡈஹᚃਗ࿒ᜊʷٙशषd੽ॹА
                 ɓආՑܢൢژɹdͭՍΣᏨෆ१ɽ௿˜ʫ߅
                                                               (Ischemia) ÷ฦෆ (Injury) ÷૚෦ (Infarction)d
            ACS™dᏨෆᚐଣࢪͭՍ call˜Ꮸෆ EKG™dᎇ
                                                               הፗ 3I ٙᜊʷdՉዚᔷ݊޴ᗫஹٙdϾڢዹͭ                               Firefighting World
            ܝක֐ၾᚐଣࢪආБʹफdΝࣛග EKG ɰਂλ                            शषd௰୞ኬߧːഏ೨ (Angina) ઋҖ̋ࠠၾܢ

            ədҢࡁၾᚐଣࢪҴഹ EKG ɓᗙкᛘɓᗙຟຟ                            ׌ːЄ૚෦ (Acute Myocardial Infarctiondᔊ၈
            ׂഹd೯ତəۃኣ૚෦ (Anterior Infarction)dᚐ                 AMI) ٙၝΥषًf

            ଣࢪኪ֒ͭ৵ᔷԒΣܢહ܃ᄿᅧ௿༸j˜ʫ߅ A                             ◆急性冠心症 (ACS) 三大類:
            ଡ଼™dɓ໊ᔼᚐɛࡰላ̈Ըਗ਼ઃ٫પආ̘ܢહd                                ( 一 ) 不穩定型心絞痛
                                                                       (Unstable Anginadᔊ၈ UA)
            ᎇܝઃ٫ٙ࢕᙮ႼՑdܢൢᔼࢪึൢəːᛔʫ߅
                                                                       h ़೨೯͛ί;ࢹٙࣛࡉe༶ਗٙࣛࡉf
            ᔼࢪɓΝΣઃ٫࢕᙮Ⴍ׼षઋʿ৔ᔼٙԸᖃ̘
                                                                       h ܵᚃ़೨ࣛග >20min.d˲؂͜೶ა
            এdԨਗ਼ઃ٫৔ֻːኬ၍܃d࢕᙮ΣҢࡁଉଉᒴ
                                                                         ᜾ᗳ (Nitrate) ᖹي ( νjNTG) א˟
            ə৏d଻عଅΈၾҢࡁહᚐɛࡰ༸ᑽfཀə 1 ˂
                                                                         ೨ᖹԸᇠ༆सًf
            Ύ̘৛ᔳவЗषઃࣛd੻ٝ˼ਂə PTCA( ຾ͤ                                   h ฏԸฏ੶ड़ٙ೨ชd̙ঐᜫွྫྷʕ
            ڿًਗএА၍ϓҖஔ ) Ԩ׳ə 1 ˕ Stent ( ˕ݖ )d                            ٙɛ೨Ց፴Ըdא़݊೨ٙࣛගһڗ

            ͦۃًرᖢ֛ίषג;ቮʕfΪމҢࡁٙуϘ೯                                        һᘌࠠd़೨೯Ъٙ᎖ଟɰˢ̻੬ᒔ
            ତdуϘஷజdԨ৔Ցቇ຅ٙᔼ৫dઃ٫षઋᖢ                                        ࠅεf

            ֛əɨԸdӚϞᜫՉषઋెʷdҢࡁਂՑəၡ                                 ( 二 )ST 段上升型心肌梗塞
            ܢᔼᐕહᚐ΍Νٙၚग़ၾͦᅺdԟ͍݊˜Right                                    ( ST elevation Myocardial Infarctiond
                                                                       ᔊ၈ STEMI )
            patient to the right place at the right time for right
                                                                       h सًһ̋੶डၾᘌࠠdܵᚃٙࣛග̙
            service™d್Ͼவਖ਼ุٙЪމၾஈໄ͍݊ɓছʱ
                                                                         ঐ൴ཀ 30min.d˲ːЄ჏९ٙ࠽ʺ
            ඟٙ EMT-2 ఱঐ༺ϓٙ΂ਕf
                                                                         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˲ːЄ჏९ٙ࠽ʺ৷ ( νj
                                                                         Troponin I)dШEKGяତSTӚϞɪʺf



                                                               ◆急性冠心症 (ACS) 症狀:
                                                                   Պۨٙڿːसிϓʘ঍೨ତ൥уމːഏ೨
                                                               (Angina)d੬Ϟۃ঍ቦ̸ਉٙᏀࠗชא݊ᏚᏀ
                                                               ชdא٫̙ঐึϞӧᆠชאై೨ઋҖdޟЇМ

                                                               ᎇഹɨˋe̸ٲאܝߠ௅ഃପ͛፧़ً࢛೨
            ¸ ྡ 1 ڿًਗএʱбྡ
                                                               ชfν؈ί;ࢹًٙ࿒ɨܵᚃ൴ཀ 20 ʱᙒٙ



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