论文部分内容阅读
目的通过对急诊拟诊急性冠脉综合征患者的病因分析,总结本院急诊医师对心悸、心前区不适、胸痛和(或)心电图异常这一组症候群的认识。方法收集贵阳市第一人民医院急诊科2007-01-2009-07收治首诊为急性冠脉综合征患者,并且住院期间已明确诊断和治疗,对病因和转归进行回顾性分析。结果明确为急性冠脉综合征事件发生率39.7%,阳性率低。结论急性冠脉综合征临床表现多样,应提高对急性冠脉综合征的正确认识才能帮助急诊科医师的快速诊断和处理,减少患者在急诊科出现不必要的心理及经济负担,减少急性冠脉综合征在急诊科的延误。
OBJECTIVE: To analyze the etiology of patients with acute coronary syndrome (ACS) who were diagnosed with acute coronary syndrome and to summarize our understanding of the syndromes of palpitations, precordial discomfort, chest pain and / or ECG abnormalities among our emergency physicians. Methods The First People ’s Hospital of Guiyang, Department of Emergency Medicine 2007-01-2009-07 admitted to the first diagnosis of acute coronary syndrome patients, and have been diagnosed and treated during hospitalization, the etiology and prognosis were retrospectively analyzed. The results clearly for the incidence of acute coronary syndrome incidence of 39.7%, the positive rate is low. Conclusions The clinical manifestations of acute coronary syndromes are diverse. A correct understanding of acute coronary syndromes should be provided to help emergency physicians diagnose and manage rapidly, reduce unnecessary psychological and financial burdens in emergency departments and reduce acute coronary syndrome Syndrome in the emergency department of the delay.