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目的 :分析综合医院开展急诊经皮冠状动脉介入 (PCI)院内时间延误的原因并探讨其对策。方法 :对1999年3月～2002年1月施行的115例急诊PCI所出现的院内时间延误进行分析 ,找出原因 ,并提出整改措施。结果 :造成院内时间延误的原因有5个方面 :急诊科医师、病人家属、药房、放射科、心脏介入医师。结论 :所有相关医务人员一定要有紧迫感 ,尽可能减少院内时间延误 ,以挽救更多的濒死病例和提高介入手术的安全性
OBJECTIVE: To analyze the causes of hospital time delay in general hospital for emergency percutaneous coronary intervention (PCI) and to discuss its countermeasure. Methods: The hospital time delay of 115 cases of emergency PCI performed from March 1999 to January 2002 was analyzed to find out the reasons and put forward corrective measures. Results: There were five reasons for the delay in hospital time: emergency physicians, patients’ families, pharmacies, radiology and cardiologists. Conclusion: All relevant medical staff must have a sense of urgency to minimize the time delay in the hospital so as to save more dying cases and improve the safety of interventional operations