CAJ | 학술논문

目的：探讨心脏远程实时监护系统在院前抢救中临床应用价值。方法对860例患者应用心脏远程实时监护预警机（ iHolter ）进行实时监测，对心电异常情况自动报警。结果860例患者中分别监测到束支传导阻滞186例、室性早搏126例、房室传导阻滞64例。监测过程中，诊断并指导治疗心律失常434例（50．5％），其中严重心律失常36例，高危心律失常16例；急性心肌梗死4例；早期发现并抢救成功者合计11例。结论心脏远程实时监护系统有利于及时发现并诊疗心律失常，降低患者心脏猝死的风险，在院前抢救中具有良好的应用前景。
목적：탐토심장원정실시감호계통재원전창구중림상응용개치。방법대860례환자응용심장원정실시감호예경궤（ iHolter ）진행실시감측，대심전이상정황자동보경。결과860례환자중분별감측도속지전도조체186례、실성조박126례、방실전도조체64례。감측과정중，진단병지도치료심률실상434례（50．5％），기중엄중심률실상36례，고위심률실상16례；급성심기경사4례；조기발현병창구성공자합계11례。결론심장원정실시감호계통유리우급시발현병진료심률실상，강저환자심장졸사적풍험，재원전창구중구유량호적응용전경。
Objective To discuss the clinical value of cardiac remote real-time monitoring sys-tem in pre-hospital rescue .Methods Cardiac remote real-time monitoring of early warning instru-ment( iHolter) was applied in 860 patients.The iHolter carried out real-time monitoring on them and gave alerts automatically in case of ECG abnormalities .Results Among 860 cases, 186 cases of bundle branch block , 126 cases of premature ventricular contraction , and 64 cases of atrioventric-ular block were found .During the process of monitoring , 434 patients ( 50 .5%) were diagnosed with arrhythmia and given treatment recommendation , including 36 cases of serious arrhythmia , 16 cases of high-risk arrhythmia; Four cases of acute myocardial infarction were found; Eleven cases were detected early and rescued successfully .Conclusion Cardiac remote real-time monitoring sys-tem helps in finding and treating arrhythmia in time , and thus decreasing the risk of cardiac sudden death.It proves to be clinically valuable in pre-hospital rescue .