院前抢救冠心病  

PREHOSPITAL RESCUE OF CORONARY HEART DISEASE (CHD)

作　　者：江一清[1] 毛树森[1] 左秀芳[1] 郄晓红[1] 张力[1] 何志原[1] 王满华[2] 候晓平[3] 纪桂英[4] 王洪泉[4] 

机构地区：[1]空军总医院心内科 [2]空军总医院航空病中心 [3]空军总医院急诊科 [4]空军总医院特诊科

出　　处：《空军总医院学报》1991年第1期7-9,共3页Journal of General Hospital of Air Force,PLA

摘　　要：冠心病抢救组在17年中住院前就地抢救360例心血管急症,其中冠心病占83.3％(300/360),急性心肌梗塞(AMI)占冠心病(CHD)之39.3％(118/300),不稳定型心绞痛(UA)占14.7％(44/300),在开展就地抢救后病人能在发病后30分钟内得到救治者由23.8％提高到94％,AMI死亡率由26.1％降为4.23％。建立防治体系可及早实施抢救;用扩冠抗凝防栓治疗可防止、减轻AMI及其并发症,降低死亡率。300 patients with CHD in the 360 cases of prehospital rescue of cardiac medical emergency were reported. Among them 39.3% (118/300) was acute myocardial infarction (AMI), 14.7% (44/300) unstable angina pectoris (UA). After prehospital rescue was practise, the rescue rate of AMI patients 30 min within episode attack was increased from 23.8% to 94% and the mortality of AMI decreased from 26.1% to 4.23%. Above results also showed that prompt managment with NTG and heparin iv in drip can effectively prevent or decrease the AMI conversion and it's complications in severe cases of UA and result in decreasing the mortality of AMI.

关 键 词：急性心肌梗塞 AMI 并发症 冠心病 隐前急救 CHD 不稳定型心绞痛 UA 硝酸甘油 

分 类 号：R541.405[医药卫生—心血管疾病] R542.220.5[医药卫生—内科学]