应用急救一体化措施救治急性心肌梗死猝死的疗效分析

The role of integrated emergency treatment in sudden death of acute myocardial infarction

目的探讨急救一体化急性心肌梗死心脏骤停措施的临床疗效。方法按照急救一体化的急救措施对我院2012年2月至2013年3月明确为急性心肌梗死心脏骤停的7例患者实施救治。结果 7例急性心肌梗死心脏停搏患者均有心肺复苏;5例恢复基本自主循环的患者均在ICU给予溶栓治疗,患者治疗成功无脑功能障碍等后遗症。结论各级医院应充分认识到急救一体化对救治猝死性急性心肌梗死的重要意义;提高对猝死性急性心肌梗死患者积极溶栓的必要性和有效性的认识。

Objective To explore the clinical efficacy of integrated emergency treatment system in sudden cardiac arrest of acute myocardial infarction.Methods Seven diagnostic cases with sudden cardiac arrest in our hospital from February 2012 to March2013 were treated according to the first aid measures of the integrated emergency system.Results All the seven cases had cardiopulmonary resuscitation.Five cases having spontaneous circulation restoration were treated with thrombolytic therapy in ICU.Patients treated successfully had no complications such as cerebral dysfunction.Conclusion Hospitals at all levels should be fully aware of the significance of the integrated emergency system in treatment of sudden death of acute myocardial infarction,and improve the understanding that thrombolysis is necessary and effective for these patients.