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急性冠脉事件发病特点及院前急救对策
引用本文:黄顺忠,林起庆.急性冠脉事件发病特点及院前急救对策[J].蛇志,2011,23(3):258-260.
作者姓名:黄顺忠  林起庆
作者单位:右江民族医学院附属医院急诊科,广西百色,533000
摘    要:目的分析我院急诊科对急性冠脉事件包括急性心肌梗死(AMI)和不稳定型心绞痛(UAP)的院前急救情况,就其存在的问题提出对策。方法回顾性分析1989~2010年救治的急性冠脉事件患者166例临床资料,其中AMI患者72例,UAP患者94例。结果急性冠脉事件发生率占急性心脏事件的48.8%,其院前急救率为31.3%(52/166),院前抢救成功率为82.69%(44/52)。结论(1)急性冠脉事件的院前急救率仍低,主要与患者及其家属不了解急性冠脉综合征的发病先兆和表现等相关知识以及呼救意识有关,因此加强相关知识的群众性普及教育迫在眉睫。(2)缩短出诊半径、加强医务人员对急诊处理特别是院前处理急性冠脉事件知识的培训、完善院前急救设备,是提高急性冠脉事件院前抢救成功率的保障。

关 键 词:急性冠脉事件  发病特点  院前急救

The characteristics of occurrence of acute coronary accident and the prehospitalized emergency treatment
HUANG Shun-zhong,LIN Qi-qin.The characteristics of occurrence of acute coronary accident and the prehospitalized emergency treatment[J].Journal of Snake,2011,23(3):258-260.
Authors:HUANG Shun-zhong  LIN Qi-qin
Institution:HUANG Shun-zhong,LIN Qi-qin(Youjiang national medical school affiliated hospital emergency department,Baishe,Guangxi,533000,China)
Abstract:Objective To learn the situation of emergency treatment for acute coronary accident(ACA) and solve the problems in it.Methods A retrospective analysis was given to 166 patients with ACA who were hospitalized from 1989 to 2010.72 cases were AMI patients and 94 cases were UAP patients.Results The rate of occurrence of ACA in acute heart accident was 48.8%.The prehospitalized emergency treatment rate was 31.3%.The success rate was 82.69%.Conclusion(1)The prehospitalized emergency treatment rate of ACA is low.I...
Keywords:Acute coronary accident  Characteristics of incidence  Prehospitalized emergency treatment  
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