17 KB91 KB16 KB192920262003Gorjup, BoštjanGradecki, IztokGregorič, BrankoKapš, RafaelOkrajšek, RenataOžek, BrankaStarič, SrečkoToplišek, Janezštevilka:2letnik:72str. 67-69ISSN:1318-0347COBISSID:15956953URN:URN:NBN:SI:doc-3NVJLFHBslSlovensko zdravniško društvoZdravniški vestnikAngina nestabilnaAngina, UnstableAngioplastika transluminalna, perkutana, koronarnaAngioplasty, Transluminal, Percutaneous Coronarybolnikicardiovascular diseaseČasovni faktorjiElectrocardiographyElektrokardiografijaEmergency Service, Hospitalkardiovaskularne bolezniMiokardni infarktMyocardial InfarctionOrganization And AdministrationPrevoz bolnikovProspective StudiesProspektivne študijeTime Factorstransport bolnikovTransportation Of PatientsUrgentna služba bolnišnicePrevoz bolnikov na primarno PTKA iz Splošne bolnišnice Novo mesto v Ljubljano| Transport of patients for primary PTCA from General hospital Novo mesto to Ljubljana|Background. The treatment of acute coronary syndrom (ACS) with ST-segment elevation with primary percutaneous transluminal coronary angioplasty (PTCA) has been a routine method for treatment of these patients in KC Ljubljana since April 2000. Using this method, mortality due to ACS, reinfarction, totalnumber of death and strokes in comparison to thrombolytic therapy were highly reduced. Since May 2001 primary PTCA has been attainable also for patients from regional hospitals to be transferred quickly enough to Ljubjana.Methods. A retrospective analysis of patients with ACS with ST-segment elevation who have been transferred from General Hospital Novo mesto to KC Ljubljana in the period from Oct. 1, 2001 to March 31, 2002 to have a primary PTCA was performed. The analysis comprised the following: time interval from the chest pain start to the arrival of patient to the General Hospital Novo mesto, handling of patient at Internistic department of General Hospital Novo mesto, transport of patient to Ljubljana and total time intervalfrom the arrival of patient to the first inflation of balloon in Ljubljana. Results. In the upper mentioned period 14 patient (12 males and 2 females) were transported from the General Hospital Novo mesto to the KC Ljubljana to perform a primary PTCA. Our patients arrive to hospital very late. Due to problems with transport organisation and patient's escort and duty, total time interval measured between the patient arrival to the General Hospital Novo mesto to the first inflation of balloon in Ljubljana was 2h and 42 minutes. That was longer that had been stated previously in the literature.Conclusions. In our opinion, primary PTCA is practicable also for patients admitted to a regional hospital because of ACS with ST-segment elevation. The transport of patient is safe. Better organisation of Health Service and patient transportion would shorten the time needed to perform the first inflation of balloon in LjubljanaIzhodišča. Zdravljenje bolnikov z akutnim koronarnim sindromom (AKS) z dvigom ST spojnice s primarno perkutano transluminalno koronarno angioplastiko (PTKA)je rutinska metoda zdravljenja teh bolnikov v Kliničnem centru Ljubljanaod aprila 2000. S to metodo pomembno zmanjšamo umrljivost zaradi AKS,pogostnost reinfarktov, celokupno število smrti in možganskih kapi v primerjavi s trombolitičnim zdravljenjem. Od maja 2001 je primarna PTKA dosegljiva tudi za bolnike iz regionalnih bolnišnic, ki jih lahko dovolj hitroprepeljemo v Ljubljano. Metode. Opravili smo retrospektivno analizo bolnikov z AKS z dvigom ST spojnice, ki smo jih iz SB Novo mesto v času od 1. 10. 2001 do 31. 3. 2002 prepeljali v KC Ljubljana za izvedbo primarne PTKA. Analizirali smo časovne intervale od začetka prsne bolečine do prihoda bolnikav SB Novo mesto, obravnavo bolnika na Internem oddelku SB Novo mesto, prevoz bolnika v Ljubljano in skupni časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubjani. Rezultati. V omenjenem obdobju smo iz SB Novo mesto v KC Ljubljana prepeljali 14 bolnikov za izvedbo primarnePTKA, 12 moških in 2 ženski. Naši bolniki prihajajo v bolnišnico pozno. Predvsem zaradi težav z organizacijo prevoza, spremstva bolnika in dežurne službe je časovni interval od prihoda bolnika v SB Novo mesto do prvega napiha balona v Ljubljanani - 162 minut - daljši kot ga navajamo v literaturi. Zaključki: Menimo, da je primarna PTKA izvedljiva tudi pri bolnikih, ki so zaradi AKS z dvigom ST spojnice sprejeti v regionalno bolnišnico. Prevoz bolnika je varen. Z boljšo organizacijo zdravstvene službe in boljšo urejenostjo prevoza bolnikov bo možno čas do prvega napiha balona šeskrajšatiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo