523例急性心肌梗死患者院前急救特点分析  

ANALYSIS OF PRE-HOSPITAL EMERGENCY FOR 523 CASES WITH ACUTE MYOCARDIAL INFARCTION

作　　者：张明[1] 陶旭[1] 王蓬波 

机构地区：[1]江苏省南通市红十字救护中心医务科,南通226006 [2]南通市瑞慈医院心内科

出　　处：《现代预防医学》2011年第7期1372-1373,共2页Modern Preventive Medicine

摘　　要：[目的]分析总结523例急性心肌梗死病例特点和急救过程,旨在提高抢救治疗成功率。[方法]回顾性分析某中心2003年1月～2008年12月间出车接诊抢救的306例急性心肌梗死(抢救组)和自行入院的217例急性心肌梗死(对照组)分析比较。[结果]抢救组与对照组得到抢救治疗时间分别为(38.32±12.01)min、(62±13.21)min。并发症分别为27.5%、66.8%,死亡率为15.3%、36.4%。平均住院日分别(18±9)d、(32±16)d,差异有统计学意义(P﹤0.05)。[结论]加强重点人群的健康教育及实行快速有效的院前急救、保证绿色通道完善、院内院外的急救网络对接,是提高AMI患者抢救成功率、降低死亡的关键。[Objective]To analyze and summarize 523 patients with acute myocardial infarction characteristics and first-aid process,so as to improve the success rate of life-saving treatment.[Methods]We retrospectively analyzed the rescued 306 cases with acute myocardial infarction（rescue group）and self-admitted 217 cases with acute myocardial infarction（control group）in our hospital from January 2003 to December 2008.[Results]The emergency treatment time of rescue group and the control group were 38.32±12.01min and 62±13.21min,respectively.The complication rates were 27.5% and 66.8% of the two groups,respectively.The mortality rate was 15.3% and 36.4%,respectively.The average hospital stay were（18±9）d and（32±16）d,respectively.There was a significant difference between the two groups（P﹤0.05）.[Conclusion]We should strengthen the focus on the health education and perform the implementation of fast and efficient pre-hospital emergency treatment for important population,so that to ensure sound green channel.The docking of the emergency network in hospital and outside hospital is the key to improve the success rate of salvage in patients with AMI and reduce death.

关 键 词：急性心肌梗死 院前急救 特点分析 溶栓 

分 类 号：R542.22[医药卫生—心血管疾病]