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[目的]分析总结523例急性心肌梗死病例特点和急救过程,旨在提高抢救治疗成功率。[方法]回顾性分析某中心2003年1月～2008年12月间出车接诊抢救的306例急性心肌梗死(抢救组)和自行入院的217例急性心肌梗死(对照组)分析比较。[结果]抢救组与对照组得到抢救治疗时间分别为(38.32±12.01)min、(62±13.21)min。并发症分别为27.5%、66.8%,死亡率为15.3%、36.4%。平均住院日分别(18±9)d、(32±16)d,差异有统计学意义(P﹤0.05)。[结论]加强重点人群的健康教育及实行快速有效的院前急救、保证绿色通道完善、院内院外的急救网络对接,是提高AMI患者抢救成功率、降低死亡的关键。
[Objective] To analyze and summarize the characteristics of 523 acute myocardial infarction cases and the emergency treatment process so as to improve the success rate of emergency treatment. [Methods] A retrospective analysis of 306 cases of acute myocardial infarction (rescue group) and 217 cases of acute myocardial infarction (control group) admitted to hospital from January 2003 to December 2008 in a hospital were retrospectively analyzed. [Results] The salvage time of the rescue group and the control group were (38.32 ± 12.01) min and (62 ± 13.21) min, respectively. Complications were 27.5% and 66.8% respectively, with mortality rates of 15.3% and 36.4%. The average length of hospital stay was (18 ± 9) days and (32 ± 16) days, respectively, with significant difference (P <0.05). [Conclusion] It is the key to improve the success rate of rescue and reduce the death rate of AMI patients by strengthening the health education of key population and implementing fast and effective pre-hospital emergency to ensure the perfect green channel and the emergency network connection outside the hospital.