CAJ | 학술논문

目的：对580例急性心肌梗死患者入院前耽误的时间以及不同就诊时间的死亡情况进行详细的分析。方法对2011年3月～2013年3月在我院急救中心的急诊室和急诊重症监护室收治的急性心肌梗死的580例患者的病例进行详细的回顾性分析，根据耽误时间的差异将其分成7个时间段，按照其具体的分布计算每一个时间段产生心室颤动的概率，复苏的成功率和致死率等，同时还要对和患者死亡相关的因素进行详细的分析。结果患者耽误时间的中位数是130 min，患者治疗之后复苏的成功率为71.7%，患者的病死率为5.3%，年龄和耽误的时间是影响患者预后独立且非常重要的因素。结论对急性心肌梗死患者而言，需采取有效的措施，及时发现患者的病情。
목적：대580례급성심기경사환자입원전탐오적시간이급불동취진시간적사망정황진행상세적분석。방법대2011년3월～2013년3월재아원급구중심적급진실화급진중증감호실수치적급성심기경사적580례환자적병례진행상세적회고성분석，근거탐오시간적차이장기분성7개시간단，안조기구체적분포계산매일개시간단산생심실전동적개솔，복소적성공솔화치사솔등，동시환요대화환자사망상관적인소진행상세적분석。결과환자탐오시간적중위수시130 min，환자치료지후복소적성공솔위71.7%，환자적병사솔위5.3%，년령화탐오적시간시영향환자예후독립차비상중요적인소。결론대급성심기경사환자이언，수채취유효적조시，급시발현환자적병정。
Objective To carry out a detailed analysis of delay of 580 cases of acute myocardial infarction patients before admission time and different treatment time of death.MethodsA retrospective analysis of 580 patients with acute myocardial infarction in the emergency room and emergency department in our hospital from March 2011 to March 2013 was carried out, According to the time delay difference will be divided into seven periods, according to the speciifc distribution calculation every time section of ventricular ifbrillation probability, resuscitation success rate and death rate, but also of patients and death related factors detailed analysis.Results The median delay time is 130 minutes, patient s after resuscitation success rate was 71.7%, the overall mortality was 5.3%, age and the time delay is independent factors affecting the prognosis of patients with very important. ConclusionFor patients with polar myocardial infarction, take effective measures, timely ifnd out the condition of the patient.