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目的:在急性心肌梗死发病的第一现场,进行院前早期识别与专业治疗,规范急性心肌梗死诊疗流程,建立院前及院内一体化救治模式,以改善病人的预后。方法:选择我院“120”急救中心经专业院前急救后送达急诊科科病人102例为观察组,非“120”送达急诊科的病人91例作为对照组,两组病人发病3 h之内。结果:两组病人的基本情况无统计学差异(P>0.05),具有可比性,观察组急救反应时间、医院反应时间均比对照组时间短(P>0.05),主要心血管事件有统计学差异(P<0.05),两组病人梗死冠脉再通率无统计学差异。结论:院前急救对急性心肌梗死病人可以在发病现场做出早期诊断和专业治疗,快速进入急诊绿色通道,使院前院内急救一体化,从整体上提高急诊抢救水平、改善病人的预后。
OBJECTIVE: To identify and treat prehospital anomalies at the first scene of acute myocardial infarction, to standardize the diagnosis and treatment of acute myocardial infarction, and to establish a prehospital and intra-hospital integrated treatment model to improve the patient’s prognosis. Methods: A total of 102 patients in emergency department who were sent to emergency department after first-aid in hospital were selected as the observation group and 91 patients who were served “non-120” to the emergency department as control group. Two groups Patients within 3 h of onset. Results: There was no significant difference between the two groups (P> 0.05). The comparability of the response time of the two groups was shorter than that of the control group (P> 0.05). The main cardiovascular events were statistically significant (P <0.05). There was no significant difference in coronary recanalization rate between the two groups. Conclusion: Prehospital first aid can make early diagnosis and professional treatment on the scene of acute myocardial infarction. It can quickly enter the green channel of emergency and integrate the first aid and emergency treatment in the front yard of the hospital so as to improve the emergency rescue and improve the prognosis of patients.