Pre-hospital management of acute pericarditis based on a case study

D. Gałuszka, J. Kasperowicz, K. Ślusarczyk
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Abstract

Aim: Indication of appropriate treatment of the emergency medical team towards a patient with acute pericarditis being a life-threatening condition. Material and method: The retrospective study included two men to whom EMT (Emergency Medical Team) was called for chest pain and in the second case due to the correlation of chest pain, ECG changes and pathological results of ultrasensitive cardiac troponin and CRP. Both patients developed acute pericarditis as a result of the infection they were currently undergoing. In this paper, the case study method was used. The research material was obtained through the analysis of medical rescue cards, EMT departure order cards and hospital treatment information cards. Conclusions: Among cardiac patients with stenocardial pain, regardless of age and other factors, an examination should always be carried out and discriminatory diagnostics should be implemented, m.in. for suspected acute pericarditis. Medical interview, in particular epidemiological history, plays an important role.
急性心包炎院前处理的个案分析
目的:紧急医疗小组对急性心包炎患者进行适当治疗的指征是危及生命的状况。材料与方法:回顾性研究包括两例因胸痛被叫急诊医疗队就诊的男性患者,另一例因胸痛、心电图变化及超敏感心肌肌钙蛋白和CRP病理结果的相关性就诊。两例患者均因感染而发展为急性心包炎。本文采用个案研究法。通过对医疗救援卡、EMT离场指令卡和医院救治信息卡的分析,获得研究资料。结论:心绞痛患者不论年龄和其他因素,均应进行检查,并进行鉴别诊断。疑似急性心包炎。医学访谈,特别是流行病学史,起着重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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