院前移动ICU建设对急性胸痛患者转运安全性的影响

Impact of Pre-hospital Mobile Intensive Care Unit Construction on the Safety of Transferring the Acute Chest Pain Patients

目的:分析院前移动ICU(Mobile Intensive Care Unit)建设对急性胸痛患者转运安全性的影响。方法:研究纳入2010年1月至2015年4月30日1644名经广州军区广州总医院救护车转运的急性胸痛患者,按胸痛中心成立时间将患者分为2组,胸痛中心成立前为A组,胸痛中心成立后为B组,比较胸痛中心成立加强移动ICU建设后,转运患者数量及转运途中各类事件的变化。结果:胸痛中心成立前1年3个月共转运31例患者,2例患者转运途中死亡;胸痛中心成立后4年共转运1435名急性胸痛患者,其中10例患者出现室颤,复苏成功,18例患者带呼吸机转运,2例患者带IABP转运,1例患者转运途中死亡。结论:移动ICU建设可以大大提高急性胸痛患者转运的安全性。

Objective： This study attempt to investigate the impact of construction of pre-hospital mobile ICU （intensive care unit） on the safety of transferring the acute chest pain patients. Methods： All the 1644 acute chest pain patients transferred by our ambulance from January 1st, 2010 to April 30th, 2015 were enrolled. All the patents were divided into 2 groups according to the day of construction of the CPC （Chest Pain Center）. Before is group A and after is group B. The number of transferred patients and events occurred during the transferring were compared between the 2 groups. Results： 31 acute chest pain patients were transferred in about 1 year and 3 month before the construction of CPC and 2 patients died. However, 1435 acute chest pain patients were transferred in about 4 years after construction of the CPC. 10 patients were occurred ventricular fibrillation with successful CPR （cardio pulmonary resuscitation）. 18 patients transferred with ventilator support and 2 of the patients with IABP support and 1 patient died. Conclusions： construction of the pre-hospital mobile ICU can improve the safety of the transferring of the acute chest pain patients.