RESUMEN
The article deals with the first experience in the use of auxiliary circulation by contrapulsation with an intraaortic balloon during the transportation of patients with myocardial infarction complicated by cardiogenic shock from an unspecialized hospital to a cardiosurgical hospital. Transportation on the background of contrapulsation does not affect the efficacy of auxiliary circulation and does not lead to a recurrence. A conclusion is drawn on the experiency of using contrapulsation during transportation of patients with myocardial infarction complicated by cardiogenic shock to specialized cardiosurgical hospitals for continuation of auxiliary circulation and emergency revascularization of the myocardium.
Asunto(s)
Circulación Asistida , Cardioversión Eléctrica/métodos , Contrapulsador Intraaórtico , Infarto del Miocardio/complicaciones , Choque Cardiogénico/terapia , Transporte de Pacientes/métodos , Presión Sanguínea , Hemodinámica , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/fisiopatología , Infarto del Miocardio/terapia , Respiración Artificial , Choque Cardiogénico/fisiopatologíaRESUMEN
An analysis of annual reports of the station of ambulance and emergency medical aid during the past 6 years demonstrated a significant increase in the number of patients with acute cerebral circulation disorders due to reorganization of ambulance medical aid services. The authors discuss some scientific-methodological organizational problems of neurological emergency medical services, the tasks of specialized neurological teams questions of the diagnosis of brain stroke and the necessary level of eupplementary studies and treatment measures in the prehospital stage. A certain importance is allocated to a continuity of patient treatment in the hospital and perfection of the system of hospital care to patients with acute disorders of cerebral circulation.