绕行急诊科及CCU对急性ST抬高型心肌梗死行PCI患者再灌注时间及预后的影响  

Effect of Bypass Emergency Department and CCU on Reperfusion Time and Prognosis of PATIENTS with Acute ST-elevation Myocardial Infarction Undergoing PCI

作　　者：林佑妮 陈协辉 LIN You-ni;CHEN Xie-hui(Guangdong Medical University,Zhanjiang 524023,Guangdong Province,China;Longhua Central Hospital Affiliated to Guangdong Medical University,Shenzhen 518110,Guangdong Province,China)

机构地区：[1]广东医科大学,广东湛江524023 [2]广东医科大学附属龙华中心医院,广东深圳518110

出　　处：《罕少疾病杂志》2022年第10期33-34,共2页Journal of Rare and Uncommon Diseases

摘　　要：近年来,我国老龄化持续加重,心血管病作为老年人常见病其发病率也随之逐年升高,急性ST段抬高型心肌梗死(STEMI)更是重要的致死病因,PCI治疗可有效再通血管,作为行之有效的治疗方案。针对STEMI患者在最短时间内开通闭塞的冠状动脉是救治工作的核心,而在胸痛中心建立前,胸痛患者要经过门急诊、CCU,直至临床确诊才能进行手术。绕行急诊、CCU可以充分利用每分每秒,让患者尽早得到诊治,本研究旨在探讨胸痛中心模式下绕行急诊及CCU对急性ST抬高型心肌梗死行PCI患者再灌注时间及预后的影响,以期进一步为胸痛中心流程改善提供依据,推动心肌梗死的规范化、患者利益最大化诊治,提高STEMI患者的治疗效果。In recent years,China's aging population continues to increase,and the incidence of cardiovascular disease,as a common disease of the elderly,also increases year by year.St-segment elevation myocardial infarction(STEMI)is an important cause of death.PCI can effectively recanalize blood vessels as an effective treatment plan.For STEMI patients,the core of the treatment is to open the occlusion coronary artery in the shortest time.Before the establishment of the chest pain center,chest pain patients need to go through the outpatient and emergency department,CCU,until the clinical diagnosis can be performed.Bypassing the emergency department and CCU can make full use of every minute and second,so that patients can be diagnosed and treated as soon as possible.This study aims to explore the effects of bypassing the emergency department and CCU on the reperfusion time and prognosis of patients with acute ST-elevation myocardial infarction undergoing PCI under the chest pain center mode,in order to further provide a basis for improving the chest pain center process.Promote standardized diagnosis and treatment of myocardial infarction,maximize the benefit of patients,and improve the therapeutic effect of STEMI patients.

关 键 词：绕行急诊及冠心病监护病房(CCU) 急性ST抬高型心肌梗死 PCI术 

分 类 号：R542.22[医药卫生—心血管疾病]