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我院自1993～1996年收治了34例院外抢救的急性心肌梗塞(AMI)病人。34例中男23例,女11例,年龄33～74(平均53.5)岁。心前区疼痛、胸闷、压迫窒息感伴冷汗者26例,左胸痛并向左肩放射4例,上腹痛伴憋气2例,牙痛2例。就诊与发病时间间隔2小时至3天。12例有明确的高血压病史,11例有冠心病、心绞痛病史,8例有糖尿病史,3例有肺心病史。34例均符合AMI诊断标准,其中前壁13例,前间壁8例,广泛前壁7例,下壁4例,下壁合并前间壁2例。34例中8例并发频发室性早搏。院外除2例猝死抢救无效外,其余32例经抢救病情平稳后送医院治疗。院外抢救体会
From 1993 to 1996, our hospital admitted 34 patients with acute myocardial infarction (AMI) rescued outside the hospital. There were 23 males and 11 females in 34 cases, ranging in age from 33 to 74 (average 53.5 years). Pre-anterior chest pain, chest tightness, oppression, asphyxia with cold syndrome in 26 cases, left chest pain and radiation to the left shoulder in 4 cases, upper abdominal pain with suffocation 2 cases, 2 cases of toothache. Treatment and onset of time interval of 2 hours to 3 days. 12 patients had a clear history of hypertension, 11 patients had coronary heart disease, history of angina, 8 patients had history of diabetes, 3 patients had history of pulmonary heart disease. All 34 cases met the diagnostic criteria of AMI, including 13 cases of anterior wall, 8 anterior wall, 7 extensive anterior wall, 4 inferior wall and 2 inferior wall combined with anterior wall. Among the 34 cases, 8 cases had frequent premature ventricular contractions. In addition to hospital 2 cases of sudden death rescue invalid, the remaining 32 cases were sent to hospital for treatment after the rescue was stable. Rescue experience outside the hospital