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1、,Company Logo,总结,重 申 对无合并症、血流动力学稳定, 不伴有反复缺血发作的AMI患者, 24小时后进行早期活动 利大于弊!,,Company Logo,总结,,Company Logo,总结,质 疑 早期活动是否真的如对方辩友所说: 会增加心肌耗氧量,导致心脏破裂、心律失常、猝死等并发症?,,Company Logo,,Company Logo,,Company Logo,2008年欧洲心脏病学会发布ST段抬高心梗治疗指南,无合并症的病人在发病的第一天可以坐在床边解大便,进行自我护理、自己进食。第二天可离床活动,如:病人可以在平地步行200米,几天内可以上楼梯。,Ambula
2、tion Patients with significant LV damage should rest in for the first 12-24h, by which time it will be apparent whether the infarction is going to be complicated.In uncomplicated cases, the patient can sit out of the bed late on the first day ,be allowed to use a commode,and undertake selfe-care and
3、 self-feeding.Ambulation can start the next day ,and such patients can be walking up to 200m on the flat,and walking up stairs within a few days.Those who have experienced heart failure ,shock, or serious arrhythmias should be kept in bed longer ,and their physical activity increased slowly,dependent upon their symptoms and the extent of myocardiac damage.,AMI患者早期进行低强度活动 是安全、科学、有理有据的!,,Company Logo,METs 指导康复活动,MET,活动,,Company Logo,百姓看病难,看病贵 更是目前社会最关心的民生热点问题,,Company Logo,AMI早期活动,符合中国国情的 符合全民意愿的,,Company Logo,对方辩友: 尊重科学证据 不要固步自封 摆脱传统观念的束缚, 用科学发展的眼光看待问题!,Thank You !,广东省人民医院心内科 正方 早期活动利大于弊,