36例突发致命性胸痛病人院前急救和转运效果分析

Impact of pre-hospital emergency care and transportation in 36 patients with sudden and deadly chest pain

目的探讨突发致命性胸痛病人院前急救及转运效果。方法回顾性分析深圳市急救中心院前急救科2006年1月至2009年1月接收的突发致命性胸痛病人36例的临床资料，并比较同期自行人院的21例同类病人病死率。结果院前急救组病人经专业现场急救处理后，其处理前后呼吸、心率、血压、胸痛程度差异均有统计学意义，院前急救组病死率低于自行入院组。结论突发致命性胸痛病人临床表现复杂，专业的院前急救能及时抢救监护，合理用药，保证安全、快速、有效转送，病情控制较好，有效降低病死率。

Objective To discuss the methods of pre-hospital emergency care and transportation for patients with sudden chest pain. Methods Retrospective analysis was used in this study. The mortality was compared between 36 patients with sudden and deadly chest pain aided by pre-hospital emergency department and 21 patients with similar symptom aided by themselves. Results In indicators containing vital signs, severity of chest pain, mortality, the pre-hospital emergency care group was better than self-rescue group. Conclusions The clinical symptoms of patients with sudden and deadly chest pain are complex. However, professional pre-hospital emergency care can effectively reduce the mortality by closely monitoring, safely and effectively referred.