转诊社区急性心肌梗死患者的临床特征分析  

An analysis on clinical characteristics of the acute myocardial infarctioni patient transferred from community cliniccenters

作　　者：王晶[1] 真亚[2] 邹圣容[2] 马铼枫 邹圣强[1] 

机构地区：[1]江苏大学灾难与急救医学系,镇江市急救中心,镇江212003 [2]江苏大学附属人民医院 [3]镇江市京口社区卫生服务中心

出　　处：《中国急救复苏与灾害医学杂志》2015年第1期25-27,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：镇江市社会发展支撑项目（SH2010045）

摘　　要：目的 调查转诊社区急性心肌梗死（AMI）患者的临床特征,为制定AMI双向转诊指南提供参考.方法 回顾调查2012年7月1日～2013年6月30日镇江市单向转诊的社区AMI患者117例,根据年龄分为老年组（＞65岁）和非老年组（≤65岁）,比较两组临床特征.结果 社区AMI患者的临床特征为：非老年组男女性别比例差距大、老年组有冠心病和脑血管意外病史的较多、老年组发病时心功能较差、非老年组接受急诊冠状动脉介入（PCI）手术较多,P＜0.05.结论 转诊社区AMI患者,在性别比例、冠心病和脑血管意外病史、发病时心功能、选择急诊PCI等方面有差异.ObjectiveTo explore acute myocardial infarction （AMI） patients＇ clinical features who were transferred from community clinic and provide reference for setting the bilateral-transfer referral guide. Methods An retrospective analysis was conducted on 117 AMI patients who were transferred in one-way referral. They were divided into two groups, group A of patients aged 65 and above, and group B of patients younger than 65. Their clinical features were compared. Results A significant difference in gander and higher number of PCI operation were found in the group B, while a higher number of coronary heart disease history and cerebrovascular accidents with poor heart function were found in group, P 〈0.05. Conclusion The following important factors should be given a consideration when referring AMI patients from community： patient＇ s gender, a history of coronary heart disease and eerebrovascular accident, and etc.

关 键 词：社区 急性心肌梗死 患者 转诊 临床特征 

分 类 号：R459.7[医药卫生—急诊医学]