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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

胡大一心肌梗死长城会2015
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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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  1. [GetPortalCommentsPageByObjectIdResponse(id=1322743, encodeId=d32a1322e43fe, content=<a href='/topic/show?id=355b96891fe' target=_blank style='color:#2F92EE;'>#长城会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96891, encryptionId=355b96891fe, topicName=长城会)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef33504, createdName=wsusan1966, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394801, encodeId=989c13948010f, content=<a href='/topic/show?id=94bb83e90b7' target=_blank style='color:#2F92EE;'>#胡大一#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83790, encryptionId=94bb83e90b7, topicName=胡大一)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7eeb2500172, createdName=haouestc, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42450, encodeId=b2164245020, content=都是摆设吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a1a01625167, createdName=zhouxue1990, createdTime=Tue Nov 03 22:32:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42404, encodeId=dd1b4240423, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151022/IMG56284F436A2E92816.jpg, createdBy=30661658215, createdName=糖果鱼塘, createdTime=Tue Nov 03 13:08:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42400, encodeId=3e374240092, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Nov 03 12:44:00 CST 2015, time=2015-11-03, status=1, ipAttribution=)]
    2015-11-05 wsusan1966

    #长城会#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1322743, encodeId=d32a1322e43fe, content=<a href='/topic/show?id=355b96891fe' target=_blank style='color:#2F92EE;'>#长城会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96891, encryptionId=355b96891fe, topicName=长城会)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef33504, createdName=wsusan1966, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394801, encodeId=989c13948010f, content=<a href='/topic/show?id=94bb83e90b7' target=_blank style='color:#2F92EE;'>#胡大一#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83790, encryptionId=94bb83e90b7, topicName=胡大一)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7eeb2500172, createdName=haouestc, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42450, encodeId=b2164245020, content=都是摆设吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a1a01625167, createdName=zhouxue1990, createdTime=Tue Nov 03 22:32:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42404, encodeId=dd1b4240423, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151022/IMG56284F436A2E92816.jpg, createdBy=30661658215, createdName=糖果鱼塘, createdTime=Tue Nov 03 13:08:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42400, encodeId=3e374240092, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Nov 03 12:44:00 CST 2015, time=2015-11-03, status=1, ipAttribution=)]
    2015-11-05 haouestc

    #胡大一#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1322743, encodeId=d32a1322e43fe, content=<a href='/topic/show?id=355b96891fe' target=_blank style='color:#2F92EE;'>#长城会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96891, encryptionId=355b96891fe, topicName=长城会)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef33504, createdName=wsusan1966, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394801, encodeId=989c13948010f, content=<a href='/topic/show?id=94bb83e90b7' target=_blank style='color:#2F92EE;'>#胡大一#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83790, encryptionId=94bb83e90b7, topicName=胡大一)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7eeb2500172, createdName=haouestc, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42450, encodeId=b2164245020, content=都是摆设吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a1a01625167, createdName=zhouxue1990, createdTime=Tue Nov 03 22:32:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42404, encodeId=dd1b4240423, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151022/IMG56284F436A2E92816.jpg, createdBy=30661658215, createdName=糖果鱼塘, createdTime=Tue Nov 03 13:08:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42400, encodeId=3e374240092, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Nov 03 12:44:00 CST 2015, time=2015-11-03, status=1, ipAttribution=)]
    2015-11-03 zhouxue1990

    都是摆设吧

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1322743, encodeId=d32a1322e43fe, content=<a href='/topic/show?id=355b96891fe' target=_blank style='color:#2F92EE;'>#长城会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96891, encryptionId=355b96891fe, topicName=长城会)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef33504, createdName=wsusan1966, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394801, encodeId=989c13948010f, content=<a href='/topic/show?id=94bb83e90b7' target=_blank style='color:#2F92EE;'>#胡大一#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83790, encryptionId=94bb83e90b7, topicName=胡大一)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7eeb2500172, createdName=haouestc, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42450, encodeId=b2164245020, content=都是摆设吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a1a01625167, createdName=zhouxue1990, createdTime=Tue Nov 03 22:32:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42404, encodeId=dd1b4240423, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151022/IMG56284F436A2E92816.jpg, createdBy=30661658215, createdName=糖果鱼塘, createdTime=Tue Nov 03 13:08:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42400, encodeId=3e374240092, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Nov 03 12:44:00 CST 2015, time=2015-11-03, status=1, ipAttribution=)]
    2015-11-03 糖果鱼塘

    有道理

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1322743, encodeId=d32a1322e43fe, content=<a href='/topic/show?id=355b96891fe' target=_blank style='color:#2F92EE;'>#长城会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=96891, encryptionId=355b96891fe, topicName=长城会)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef33504, createdName=wsusan1966, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394801, encodeId=989c13948010f, content=<a href='/topic/show?id=94bb83e90b7' target=_blank style='color:#2F92EE;'>#胡大一#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83790, encryptionId=94bb83e90b7, topicName=胡大一)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7eeb2500172, createdName=haouestc, createdTime=Thu Nov 05 02:24:00 CST 2015, time=2015-11-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42450, encodeId=b2164245020, content=都是摆设吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a1a01625167, createdName=zhouxue1990, createdTime=Tue Nov 03 22:32:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42404, encodeId=dd1b4240423, content=有道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151022/IMG56284F436A2E92816.jpg, createdBy=30661658215, createdName=糖果鱼塘, createdTime=Tue Nov 03 13:08:00 CST 2015, time=2015-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42400, encodeId=3e374240092, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151005/IMG5612955936CFA7964.jpg, createdBy=18621654109, createdName=Guoxj3234, createdTime=Tue Nov 03 12:44:00 CST 2015, time=2015-11-03, status=1, ipAttribution=)]
    2015-11-03 Guoxj3234

    赞

    0

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