论文部分内容阅读
目的 :探讨急救中心实施急性心肌梗死 (AMI)院前溶栓治疗可行性。方法 :西安急救中心与第四军医大学西京医院心内科联合设计了 12 0 -CCU模式 ,由急救医生在现场对诊断为可疑 AMI无溶栓禁忌症患者 ,按患者意愿实施现场溶栓治疗后送至西京医院 CCU,记录转运途中并发症、发病到溶栓时间 ,以及住院期间死亡率。结果 :1998.12-2 0 0 1.0 5对 3 0例 AMI患者实施院前溶栓 ,现场诊断 AMI的总体准确率为 90 %。转运途中并发症 (室速、室颤、 °房室传导阻滞 )发生率为 18% ,就诊到溶栓时间为 42± 3 0 min,发病到溶栓时间 198± 177min。院前无 1例死亡 ,住院期间死亡率为 11%。结论 :对 AMI采用 12 0 -CCU模式实施院前溶栓治疗安全可行。
Objective: To investigate the feasibility of pre-hospital thrombolytic therapy in emergency center for acute myocardial infarction (AMI). Methods: A total of 12 0 -CCU models were designed by Xi’an First Aid Center and Xijing Hospital of the Fourth Military Medical University. Emergency physicians performed on-site thrombolytic therapy according to patients’ wishes on the diagnosis of suspicious AMI without thrombolytic contraindications To Xijing Hospital CCU, record the transit complications, onset to thrombolytic time, and hospital mortality. Results: 1998.12-2 0 0 1.05 On 30 patients with AMI patients undergoing prehospital thrombolysis, the overall accuracy of on-site diagnosis of AMI was 90%. The incidence of complications during transit (VT, VF, ° AVG) was 18%. The duration of thrombolytic therapy was 42 ± 30 min and the onset of thrombolysis was 198 ± 177 min. No one had died before hospitalization, and 11% died during hospitalization. Conclusion: It is safe and feasible to carry out pre-hospital thrombolytic therapy with 12 0-CCU mode in AMI.