目的:了解近年衡水市急性心肌梗死(AMI)患者的急救情况。方法:调查衡水市部分医院2006-2008年出院诊断为AMI、住院时间大于24 h患者的病史资料,调查内容包括各种西医治疗措施应用情况。结果:共调查了360例患者,其中男性占70.8%,住院期间年龄中位数为60岁,早期再灌注治疗率为20%,其中19.2%接受溶栓治疗,0.25%接受直接经皮冠状动脉腔内成形术治疗,β受体阻滞剂和血管紧张素转换酶抑制剂实际使用率分别为67.5%和35.0%。他汀类、阿司匹林、氯吡格雷使用率较高,分别为67.5%、94.1%、85.8%。结论:2006-2008年衡水市急性心肌梗死患者西医治疗情况与上海市2 063例急性心肌梗死患者住院治疗状况存在差距。 Objective: To understand the first aid of patients with acute myocardial infarction (AMI) in Hengshui City in recent years. Methods: The data of history of patients diagnosed as AMI and hospitalized for more than 24 hours in some hospitals in Hengshui from 2006 to 2008 were investigated. The investigation included the application of various western medical treatment measures. RESULTS: A total of 360 patients were surveyed, of whom 70.8% were male, the median age at hospitalization was 60 years and the rate of early reperfusion was 20%, of whom 19.2% received thrombolysis and 0.25% received direct percutaneous coronary intervention The actual utilization rates of endoluminoplasty, β-blockers and angiotensin-converting enzyme inhibitors were 67.5% and 35.0%, respectively. Statins, aspirin and clopidogrel were used at a high rate of 67.5%, 94.1% and 85.8% respectively. Conclusion: There is a gap between the western medical treatment of acute myocardial infarction patients in Hengshui City and the hospitalization of 2 063 acute myocardial infarction patients in Shanghai in 2006-2008.