急性心肌梗死院前急救68例回顾分析

Retrospective analysis of the pre-hospital care of 68 cases of acut myocardial infarction

目的:研究院前急救措施对急性心肌梗死预后的影响。方法:根据症状和ECG的表现将患者分成:A组(典型表现组),一般处理的基础上给予硝酸甘油+尿激酶;B组(疑似组)一般处理和硝酸甘油治疗;C组(不典型组),仅给予一般处理。观察各组的入院后恶性心律失常发生率与病死率的比较。结果:A组的病死率与B组病死率差异有显著意义(P<0.05),A组恶性心律失常率与B,C组差异具有显著性(P<0.05)。

Objective To explore the effect of pre-hospital care on prognosis of acut myocardial infraction. Methods The patients were divided into three groups according to the symptoms and the representation of ECG： group A （typical group） , treated with nitroglycerine and urokinase based on conventional treatment;group B （suspectable group）,treated with nitroglycerine and common disposal;group C （atypical group）,treated only with common treatment.To compare the rate of malignant arrhythmia and death of each group after hospitalization. Conclusion The difference of death rate between group A and B is significant（P〈0.05）,and the rate of malignant arrhythmia of group A has significant difference comoared with group B and C respectively（P〈0.05）.