基于移动通信技术与XML数据结构电子病历系统的急性ST段抬高型心肌梗死电子临床路径的开发与应用

来源 :第二十四届长城国际心脏病学会议、亚太心脏大会暨国际心血管病预防与康复会议(The 24th Great Wall Int | 被引量 : 0次 | 上传用户:hoooopy
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目的:对急性ST段抬高型心肌梗死(ST-Segment Elevation Myocardial Infarction,STEMI)的患者而言,实施心肌再灌注的时间对挽救心肌、改善预后和降低死亡率至关重要.如何尽快明确诊断、与有PCI资质的中心取得联系、完善术前准备并再通血管,以达到最短的就诊至球囊扩张(Door to Balloon,D2B)与急诊至球囊扩张(Emergency medical service to Balloon,E2B)时间,已经成为影响STEMI患者生存及预后的关键因素.但在现实的临床实践中,多数STEMI病人错过了最佳时间,且上述关键时间点信息往往无从获取.本文基于现状,利用移动通信技术远程传递心电图等信息协助迅速诊断、启动STEMI治疗绿色通道,借助XML数据结构电子病历与临床路径的整合,迅速辅助完成全程诊疗计划,并自动记录整合关键时间点及临床信息,为缩短D2B与E2B时间、后续临床资料规范及整理提供辅助解决方案.
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