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目的:探讨院内外一体化急救绿色通道在急性心肌梗死(AMI)患者救治中的应用效果。方法:对38例AMI患者采用院内外一体化急救绿色通道实施救护。结果:本组38例AMI患者发病至入导管室时间为60～180 min,转运时间为(60±30)min。其中35例行冠状动脉内支架植入术,2例因血栓负荷重行PTCA后冠状动脉内注射替罗非班择期介入治疗,1例死亡。结论:内外一体化急救绿色通道可以缩短AMI患者诊断、转运、治疗时间,提高抢救成功率。
Objective: To explore the application effect of integrated first aid green channel inside and outside the hospital in patients with acute myocardial infarction (AMI). Methods: 38 patients with acute myocardial infarction (AMI) were enrolled in this study. Results: The incidence of AMI in 38 patients with AMI was 60 ~ 180 min and the transit time was (60 ± 30) min. Among them, 35 cases underwent coronary stenting, and 2 died of elective induction of Tirofiban after intracoronary injection of PTCA after thrombus loading. Conclusion: Internal and external integrated emergency green channel can shorten the diagnosis, transport and treatment time of AMI patients and improve the success rate of rescue.