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目的:分析60岁以上急性心肌梗死(AMI)患者近期转归的影响因素。方法;将363例AMI患者按是否经过院前救治分为A组(333例)与B组(30例)。分析院前救治的时间、溶栓时间、溶栓再通率、5周住院病死率。结果:A组1小时内得到院前救治者98例,5周住院病死率14.25%,院前溶栓55例,再通率74.54%,5周住院病死率5.45%;院内溶栓124例,再通率76.61%,5周住院病死率16.12%。B组5周住院病死率30.0%。结论:经过120急救系统院前急救的老年AMI病人5周住院病死率下降,且院前救治的时间越早,5周住院病死率越低。
Objective: To analyze the influencing factors of recent outcome in patients with acute myocardial infarction (AMI) over 60 years old. Methods: 363 AMI patients were divided into group A (n = 333) and group B (n = 30) according to whether they were treated before or after hospitalization. Analysis of pre-hospital treatment time, thrombolytic time, thrombolytic recanalization rate, 5-week hospital mortality. Results: In the group A, there were 98 pre-hospital caregivers, 5-week in-hospital mortality rate of 14.25%, pre-hospital thrombolysis of 55 cases, recanalization rate of 74.54% and 5-week in-hospital mortality rate of 5.45% The recanalization rate was 76.61%. The 5-week in-hospital mortality rate was 16.12%. The 5-week in-hospital mortality rate in group B was 30.0%. CONCLUSIONS: Elderly AMI patients who have undergone first-aid emergency care in 120 emergency systems have a 5-week lower in-hospital mortality rate and earlier hospitalization and a lower in-hospital mortality rate at 5 weeks.