院前急救对急性心肌梗死患者预后的影响(1)
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(重庆市丰都县人民医院急救部 重庆 丰都 408200)
【摘要】目的： 探讨院前急救处理对急性心肌梗死(AMI)患者预后的影响。方法：将我院2007年2月至2011年1月重症监护病房(ICU)收治的无溶栓禁忌症的81例AMI患者作为研究对象，其中经院前急救入院的42例为院前急救组，自行来院的39例为对照组。入院后两组均予以的尿激酶(UK)150万U溶栓及其他对症治疗，并比较两组从发病到住院溶栓时间，住院后并发症的发生率及病死率。结果：院前急救组发病到溶栓时间明显短于对照组(P<0.05)，且住院后心律失常、休克、心力衰竭等并发症的发生率及病死率亦显著低于对照组(P<0.05)。结论：院前急救处理能够缩短AMI患者发病到住院溶栓治疗时间，减轻患者症状，改善患者预后。
【关键词】急性心肌梗死；院前急救；预后，溶栓
Effects ofprognosis on the pre-hospital emergency treatment of acute myocardial infarction
Deng Qingjun
【Abstract】Objective :To explore of the pre-hospital emergency treatment of acute myocardial infarction (AMI)on the impact of prognosis.Methods:Use the 81 patients with acutemyocardial infarction patients admitted to the intensive care unit(ICU) without thrombolyticcontraindicationsfromFebruary 2007 to January 2011 as research subjects。The hospital where the 42 pre-hospital emergency pre-hospital group cases, 39 cases of self to hospital as the control group.After admission to the two groups were 1.5 million U of urokinase(UR) thrombolysis and other symptomatic treatment, And compare the two groups from the onset to thrombolysis time of hospitalization, hospital of complications and mortality. Results:Pre-hospital group was significantly shorter onset to thrombolysis in the control group(P<0.05), and after admission, arrhythmia, shock, heart failure and other complications and mortality were significantly lower than the control group(P<0.05).Conclusion:Pre-hospital emergency treatment can reduce the time from incidence of AMI patients to the hospital thrombolytic treating, reduce symptoms, improve the prognosis.
【Keywords】acutemyocardial infarction;pre-hospital emergency ;prognosis , thrombolysis
【中图分类号】R542.2【文献标识码】A【文章编号】1008-6455(2011)06-0063-02
急性心肌梗死(AMI)是临床常见的急危重症 ......
(重庆市丰都县人民医院急救部 重庆 丰都 408200)
【摘要】目的： 探讨院前急救处理对急性心肌梗死(AMI)患者预后的影响。方法：将我院2007年2月至2011年1月重症监护病房(ICU)收治的无溶栓禁忌症的81例AMI患者作为研究对象，其中经院前急救入院的42例为院前急救组，自行来院的39例为对照组。入院后两组均予以的尿激酶(UK)150万U溶栓及其他对症治疗，并比较两组从发病到住院溶栓时间，住院后并发症的发生率及病死率。结果：院前急救组发病到溶栓时间明显短于对照组(P<0.05)，且住院后心律失常、休克、心力衰竭等并发症的发生率及病死率亦显著低于对照组(P<0.05)。结论：院前急救处理能够缩短AMI患者发病到住院溶栓治疗时间，减轻患者症状，改善患者预后。
【关键词】急性心肌梗死；院前急救；预后，溶栓
Effects ofprognosis on the pre-hospital emergency treatment of acute myocardial infarction
Deng Qingjun
【Abstract】Objective :To explore of the pre-hospital emergency treatment of acute myocardial infarction (AMI)on the impact of prognosis.Methods:Use the 81 patients with acutemyocardial infarction patients admitted to the intensive care unit(ICU) without thrombolyticcontraindicationsfromFebruary 2007 to January 2011 as research subjects。The hospital where the 42 pre-hospital emergency pre-hospital group cases, 39 cases of self to hospital as the control group.After admission to the two groups were 1.5 million U of urokinase(UR) thrombolysis and other symptomatic treatment, And compare the two groups from the onset to thrombolysis time of hospitalization, hospital of complications and mortality. Results:Pre-hospital group was significantly shorter onset to thrombolysis in the control group(P<0.05), and after admission, arrhythmia, shock, heart failure and other complications and mortality were significantly lower than the control group(P<0.05).Conclusion:Pre-hospital emergency treatment can reduce the time from incidence of AMI patients to the hospital thrombolytic treating, reduce symptoms, improve the prognosis.
【Keywords】acutemyocardial infarction;pre-hospital emergency ;prognosis , thrombolysis
【中图分类号】R542.2【文献标识码】A【文章编号】1008-6455(2011)06-0063-02
急性心肌梗死(AMI)是临床常见的急危重症 ......
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