RESUMO
The paper considers the pathogenesis, clinical picture, and diagnosis of acute intoxications with alcohol and substitutes, and its prehospital medical care. It details an emergency team's tactics in patients with the above conditions.
Assuntos
Intoxicação Alcoólica , Serviços Médicos de Emergência/métodos , Intoxicação Alcoólica/diagnóstico , Intoxicação Alcoólica/epidemiologia , Intoxicação Alcoólica/terapia , Diagnóstico Diferencial , Humanos , Incidência , Federação Russa/epidemiologiaAssuntos
Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Serviços Médicos de Emergência/métodos , Hipertensão/tratamento farmacológico , Anti-Hipertensivos/administração & dosagem , Débito Cardíaco/efeitos dos fármacos , Humanos , Hipertensão/complicações , Hipertensão/etiologia , Resultado do Tratamento , Resistência Vascular/efeitos dos fármacosRESUMO
Since July 2002 we have been conducting a study of efficacy of prehospital thrombolytic therapy combined with subsequent endovascular procedures in the treatment of patients with acute myocardial infarction. Fifty nine patients received prehospital fibrinolysis with tissue-type plasminogen activator (TPA, n=28) or streptokinase (n=31) within 6 hours after onset of symptoms. TPA infusion compared with that of streptokinase was associated with smaller ischemic myocardial damage and lower frequency of side effects (3.6 and 38.7%, respectively). Angioplasty or stenting of infarct related arteries were carried out in 47 of these patients. The group of patients subjected to endovascular interventions was characterized by a low rate of in-hospital cardiac events and zero mortality.
