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目的探讨基层医院急性心血管事件的发病特点,从而更好的提高院前急救医疗服务水平。方法回顾性分析新疆阿克苏地区库车县人民医院自2003年至2009年560例院前急性心血管事件患者资料。结果冠状动脉粥样硬化性心脏病、心律失常和高血压是发病构成比最高的心血管急症,分别占53.0%、31.8%和8.9%,其中冠状动脉粥样硬化性心脏病病例中心绞痛(UAP)发病率为45.5%,急性心肌梗死(AMI)发病率为32.0%;曾有过心肌梗死(MI)病史,又发生UAP的有占19.5%;有过MI病史,再次发生AMI的占3.0%。结论急性心血管事件是当前院前急救最重要的危急重症,院前急救医疗服务极为重要。
Objective To explore the incidence of acute cardiovascular events in grass-roots hospitals so as to better improve the emergency medical services in front of hospitals. Methods A retrospective analysis of 560 patients with prehospital cardiovascular events in Kuqa County People’s Hospital of Aksu Prefecture of Xinjiang Autonomous Region from 2003 to 2009 was conducted. Results Coronary atherosclerotic heart disease, arrhythmia and hypertension were the most common cardiovascular emergencies with a prevalence of 53.0%, 31.8% and 8.9%, respectively. Among the patients with coronary heart disease, angina pectoris (UAP) ) Had an incidence rate of 45.5% and an acute myocardial infarction (AMI) incidence rate of 32.0%. There had been a history of myocardial infarction (MI) and UAP occurred again, accounting for 19.5%. There was a history of MI and AMI recurrence accounted for 3.0% . Conclusions Acute cardiovascular events are the most important emergency pre-hospital emergency critical illness, pre-hospital emergency medical services is extremely important.