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目的探讨急性胸痛早期的危险因素特点。方法选取2012年8月至2014年8月收治的急性胸痛患者100例作为研究对象,对造成患者发病的危险因素进行早期识别,观察其临床特征、生命体征、检查情况、急诊抢救情况以及预后等,分析早期识别危险因素对诊疗的作用。结果急性胸痛患者多以男性为主,且发病年龄偏于高龄,由急性心肌梗死引起急性胸痛患者例数明显高于肺栓塞、自发性气胸和夹层动脉瘤患者,差异有统计学意义(P<0.05)。引发急性胸痛的危险因素有糖尿病、高血压、吸烟以及患者的胸痛程度,高危胸痛患者的危险因素致病率明显高于中低危胸痛患者,差异有统计学意义(P<0.05)。结论对急性胸痛的危险因素进行早期识别有利于患者尽早治疗、早日康复,并对诊断的准确率、诊疗流程的规范化、急诊的抢救水平以及患者的预后都起着不容忽视的作用,有利于治疗策略的制订和实施。
Objective To investigate the characteristics of early risk factors for acute chest pain. Methods A total of 100 acute chest pain patients admitted from August 2012 to August 2014 were selected as the research object to identify the risk factors of the patients and to observe the clinical features, vital signs, examinations, emergency treatment and prognosis , Analysis of early identification of risk factors on the role of diagnosis and treatment. Results The majority of patients with acute chest pain were predominantly male and their age at onset was older. The number of cases of acute chest pain caused by acute myocardial infarction was significantly higher than that of patients with pulmonary embolism, spontaneous pneumothorax and dissecting aneurysm (P < 0.05). The risk factors of acute chest pain were diabetes, hypertension, smoking and the degree of chest pain in patients with high-risk chest pain. The incidence of risk factors in patients with high-risk chest pain was significantly higher than that in moderate-low-risk chest pain patients with statistical significance (P <0.05). Conclusion Early identification of risk factors for acute chest pain is beneficial for early treatment and early recovery, and plays an important role in the accuracy of diagnosis, standardization of diagnosis and treatment procedures, emergency rescue and prognosis of patients, which is beneficial to the treatment Strategy formulation and implementation.