长城会2015：胡大一教授首谈“高铁事件”

2015-11-03 每日医学资讯长城国际心脏病学会议

胡大一教授在10月29日午宴上首次分享了他在高铁上救助突发心梗患者的感想。他说，大家都以“见义勇为”来描述，但实际上他只是尽到医生的责任。他更多反思的是中国急性心肌梗死救治的很多问题。轻康复，埋隐患这名患者两次置入冠脉支架，术后未接受任何康复治疗，同时具有肥胖的危险因素。2013年自行停用所有药物，这次在高铁上突发心梗是因为右冠发生晚期支架血栓。这说

胡大一教授在10月29日午宴上首次分享了他在高铁上救助突发心梗患者的感想。他说，大家都以“见义勇为”来描述，但实际上他只是尽到医生的责任。他更多反思的是中国急性心肌梗死救治的很多问题。

轻康复，埋隐患

这名患者两次置入冠脉支架，术后未接受任何康复治疗，同时具有肥胖的危险因素。2013年自行停用所有药物，这次在高铁上突发心梗是因为右冠发生晚期支架血栓。这说明心梗倾向年轻化，如果继续维持现在中国的医疗体系，人群只能在患病-复发的恶性循环中消耗医疗费用。这恰恰是今年长城会希望传递的呼声。

急救体系障碍重重

胡大一教授将患者一路护送至医院，因为深知急救的各个环节有诸多疏漏，列车上没有急救药物，没有配备自动体外除颤器（AED）；列车工作人员不会心肺复苏。胡大一教授指出，心肺复苏应纳入乘务人员上岗培训中，同时应在机场、火车站等公共场所推广AED 配备和培训非专业人群使用。

另外，救护车无法进入车站，车站内也没有为急诊患者开通绿色通道，耽误了近20分钟。

救护车与救治医院对接不足。快速联系有能力抢救的医院，在患者运送时团队提早做好准备，这些都是有效的救命措施。医保系统待改进急救时间争分夺秒，如果此时患者还在顾虑费用，医院还在计较“先交费，后住院”，将极大耽误患者救治。在最短时间让患者家属同意手术，需要健全的医保系统和良好的沟通技巧。胡大一教授还提到患者教育、医疗的人文关怀等问题。他说，整个救治过程存在问题不涉及技术水平与设备配备，而是急救各环节没有完善。如果不进行改革，将是所有患者面临的问题，但不是每位患者都有这样的“运气”……

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2015-11-05 wsusan1966

#长城会#

51 0
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2015-11-05 haouestc

#胡大一#

49 0
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2015-11-03 zhouxue1990

都是摆设吧

138 0
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2015-11-03 糖果鱼塘

有道理

146 0
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2015-11-03 Guoxj3234

赞

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