不同入院方式对急性心肌梗死预后的影响

Prognosis of Acute Myocardial Infarction Impacted by Different Admission to Hospital

目的探讨不同入院方式溶栓治疗对急性心肌梗死预后的影响。方法回顾分析经“120”直接送入CCU(冠心病监护病房)和经急诊科入院进行溶栓治疗的急性心肌梗死患者,比较两组患者溶栓开始时间、再通率、住院期间及两年内心脏事件的发生率。结果“120”组溶栓开始时间早、再通率高、住院期间及两年内心脏事件的发生率低于急诊科组。结论经“120”将AM I(急性心肌梗死)患者直接送入CCU这条绿色通道可缩短溶栓开始时间、再通率高,改善了急性心肌梗死患者的预后。

Objective To prove the prognosis of AMI treated by soluble suppository. Methods Retrospective analysis on the cases with AMI admitted to hospital by120 emergency call and treated in CUU or by the department of emergency with proper soluble suppository. The cases in two groups were compared in the time of attack, the rate of re-passing, the duration of hospitalization and the incidence of attack within two years . Results The cases in emergency call group had earlier effect of soluble suppository, higher rate of re-passing, the lower incidence during hospitalization within two years than those in emergency group. Conclusion The cases with AMI in emergency call group are to have better improvement and prognosis.