{"id":144207,"date":"2021-07-23T04:33:04","date_gmt":"2021-07-23T04:33:04","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e5%9c%a8-ed-%e4%b8%ad%e5%88%a9%e7%94%a8%e5%af%a6%e9%a9%97%e5%ae%a4-it-%e8%a7%a3%e6%b1%ba%e6%96%b9%e6%a1%88%e5%92%8c-esc-0-1h-%e6%bc%94%e7%ae%97%e6%b3%95%e9%80%b2%e8%a1%8c-acs-%e6%82%a3%e8%80%85\/"},"modified":"2026-01-19T06:47:45","modified_gmt":"2026-01-19T06:47:45","slug":"leveraging-a-lab-it-solution-and-the-esc-0-1h-algorithm-for-acs-patient-triage-in-the-ed-a-case-study-from-vietnam","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/cardiology\/leveraging-a-lab-it-solution-and-the-esc-0-1h-algorithm-for-acs-patient-triage-in-the-ed-a-case-study-from-vietnam\/","title":{"rendered":"\u5728 ED \u4e2d\u5229\u7528\u5be6\u9a57\u5ba4 IT \u89e3\u6c7a\u65b9\u6848\u548c ESC 0\/1h \u6f14\u7b97\u6cd5\u9032\u884c ACS \u60a3\u8005\u5206\u8a3a\uff1a\u4f86\u81ea\u8d8a\u5357\u7684\u500b\u6848\u7814\u7a76"},"content":{"rendered":"<p class=\"text-align-justify\">\u6cb3\u5167\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u91ab\u9662 (HMUH) \u6bcf\u5929\u63a5\u6536\u7d04 3,500 \u540d\u60a3\u8005\uff0c\u5305\u62ec\u6025\u75c7\u53ca\u52a0\u8b77\u79d1 (DEIC) \u6bcf\u5929\u7d04 100 \u540d\u60a3\u8005\u3002\u5c0d\u65bc DEIC \u800c\u8a00\uff0c\u6700\u91cd\u8981\u7684\u512a\u5148\u4e8b\u9805\u4e4b\u4e00\u662f\u5118\u5feb\u5c0d\u5177\u6709\u63d0\u793a\u6025\u6027\u51a0\u72c0\u52d5\u8108\u75c7\u5019\u7fa4 (ACS) \u75c7\u72c0\u7684\u60a3\u8005\u9032\u884c\u5206\u985e\u3002\u5fc5\u9808\u505a\u51fa\u9069\u7576\u7684\u81e8\u5e8a\u6c7a\u7b56\uff0c\u7d0d\u5165\u6cbb\u7642\u6216\u6392\u9664\uff0c\u4e26\u5728\u5176\u4ed6\u79d1\u5ba4\u4e2d\u5feb\u901f\u6301\u7e8c\u76e3\u6e2c\u3002<\/p>\n<p class=\"text-align-justify\">\u6025\u6027\u5fc3\u808c\u6897\u585e (AMI) \u70ba\u4e00\u7a2e\u5371\u53ca\u751f\u547d\u7684\u75c5\u72c0\u3002\u5c0d\u65bc\u6c92\u6709\u6301\u7e8c\u6027 ST \u6bb5\u62ac\u9ad8\u4e4b\u60a3\u8005\uff0c2020 \u5e74\u6b50\u6d32\u5fc3\u81df\u75c5\u5b78\u6703\u00a0(ESC)\u00a0\u6025\u6027\u51a0\u72c0\u52d5\u8108\u75c7\u5019\u7fa4\u7ba1\u7406\u6307\u5357\u5efa\u8b70\u4f7f\u7528 0h\/1h hs-cTn \u6f14\u7b97\u6cd5\u5c0d\u60a3\u8005\u9032\u884c\u5206\u985e\u53ca\u98a8\u96aa\u5206\u5c64\uff0c\u5728 0h \u53ca 1h \u6642\u62bd\u8840\u3002\u61c9\u4f7f\u7528 hs-cTn \u6e2c\u5b9a\u4f86\u78ba\u4fdd\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u70ba\u81e8\u5e8a\u6c7a\u7b56\u63d0\u4f9b\u95dc\u9375\u8cc7\u8a0a\uff0c\u4e26\u7e2e\u77ed\u7b2c\u4e8c\u6b21\u5fc3\u808c\u808c\u9223\u86cb\u767d\u8a55\u4f30\u7684\u6642\u9593\u9593\u9694\u3002<\/p>\n<div style=\"padding: 56.25% 0 0 0; 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52ng\/L\uff08\u7d05\u6846\uff09\uff0c\u5247\u5efa\u8b70\u5c07\u5206\u5225\u6392\u9664\u6216\u7d0d\u5165\u3002<\/p>\n<p class=\"text-align-justify\">\u5982\u679c\u7d50\u679c\u7bc4\u570d\u70ba 5-52 ng\/L\uff08\u9ec3\u8272\u65b9\u6846\uff09\uff0c\u5247\u60a3\u8005\u843d\u5728\u300c\u89c0\u5bdf\u5340\u300d\u4e0b\uff0c\u4e14\u9700\u8981\u76e3\u6e2c\u4e26\u6307\u793a\u9032\u884c\u7b2c\u4e8c\u6b21 hs-cTnT \u6e2c\u8a66 (T1)\u3002\u5efa\u8b70\u5728\u6fc3\u5ea6 (T1:3 &lt; 1h<span style=\"font-size: 12.0pt;\"><span style=\"font-family: 'Cambria Math';\"><span style=\"language: en-US;\"><span style=\"font-style: normal;\">\u2206<\/span><\/span><\/span><\/span>\u00a0&lt; 5ng\/L) \u4e0b\u7e7c\u7e8c\u89c0\u5bdf\uff0c\u4e26\u5728 T3 \u4e0b\u6307\u793a\u91cd\u65b0\u6aa2\u6e2c\u3002<\/p>\n<p class=\"text-align-justify\">\u975e ST \u6bb5\u62ac\u9ad8\u578b\u5fc3\u808c\u6897\u585e (NSTEMI) \u4ea6\u53ef\u85c9\u7531\u57fa\u7dda\u6c34\u6e96\u4f4e (T0\uff1a5-12 ng\/L) \u53ca 1h \u5167\u7121\u76f8\u95dc\u589e\u52a0 (1h<span style=\"font-size: 12.0pt;\"><span style=\"font-family: 'Cambria Math';\"><span style=\"language: en-US;\"><span style=\"font-style: normal;\">\u2206<\/span><\/span><\/span><\/span>\u00a0&lt; 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