摘要
了解院前猝死事件的发生规律 ,以便更好地对于院前猝死事件、特别是心源性猝死进行有效的救治 ,降低病死率。系统分析解放军总医院近 2 0年来院前急诊救治病例 10 30例 ,其中院前发生猝死 10 6例。结果显示 ,猝死高发年龄段有两个 :一个为 6 6～ 75岁年龄段 (为 2 7.3% ) ,另一为 46～ 5 5岁年龄段 (非退休年龄 ,为2 2 .6 % )。既往有明确心血管病史的病例 6 8例 (占 6 4.2 % ) ,不明原因 2 3例 (占 2 1.6 % ) ,其他原因 15例 (占 14.2 % )。引发猝死的直接原因为 :室速、室颤 (构成比 5 5 .0 % )、心源性休克 (16 .7% )。院前猝死事件 ,是目前需要院前急诊救治主要的急危重症之一 ,而其中以急性心血管事件所致猝死的救治原则更为重要。对于已有心血管病基础的患者应注意其发生猝死的高度危险性 。
In order to decrease the mortality of pre-hospital sudden death events(SDEs),their features especially those of cardiac sudden death were analyzed. 1030 pre-hospital emergent cases from 1973～1999 were analysed systematically. The total SDEs occurred in 106 cases, among the 68 cases of cardiovascular diseases, 89.7% had coronary heart diseases(CHD), AMI or OMI with re-infarction. There were two peak age stages of SDEs: the first was 46-55 years old stage(non-retaired age stage,22.6%), and the second stage was 66-75 years old(27.3%). The pre-hospital SDEs are the most emergent cases. Great attention must be paid to those with the history of cardiovascular diseases, especially those with the history of coronary cardiac events
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2001年第4期262-263,共2页
Medical Journal of Chinese People's Liberation Army
关键词
猝死
心室颤动
心血管疾病
急诊
death,sudden
ventricular fibrillation
cardiovascular diseases
