急诊抢救室胸痛患者特征及致命性胸痛危险因素分析

Analysis of the chest pain patients characteristics and fatal risk factors in emergency resuscitation room

目的了解急诊抢救室胸痛患者的临床特征并分析致命性胸痛的危险因素。方法收集2015年12月至2018年11月上海市第五人民医院急诊抢救室以胸痛为主诉的844例患者资料,对其人口学特征、就诊时间、病因、生命体征等状况进行回顾性分析。结果患者平均年龄为(63.12±15.53)岁,病因以急性冠脉综合征(ACS)居多,共355例(42.06%),就诊时间为12∶00~16∶00的胸痛患者诊断为ACS的比例最高(51.33%),20∶00~24∶00就诊的患者诊断为ACS的比例最低(31.11%)。男性、低血压、心率减慢是致命性胸痛的危险因素(P<0.05)。结论急诊胸痛患者的就诊时间、病因以及致命性胸痛患者的特征都比较明显,了解这些特征有利于临床更好的防治胸痛。

Objective To understand the clinical characteristics of chest pain patients in emergency resuscitation room and analyze the risk factors of fatal chest pain.Methods The data of 844 chest pain patients from the emergency resuscitation room of the Fifth Peopled Hospital of Shanghai from December 2015 to November 2018 were collected and the characteristics,visiting time,pathogeny and vital signs of patients were analyzed retrospectively.Results The average age of all chest pain patients was(63.12±15.53)years old,and 355 cases(42.06%)of patients were diagnosed with acute coronary syndrome(ACS).The chest pain patients whose visiting time being from 12 am to 4 pm had the highest ACS rate(51.33%),and those whose visiting time being from 20 pm to 24 pm had the lowest ACS rate(31.11%).Male,hypotension and slow heart rate were risk factors of fatal chest pain(P<0.05).Conclusion The visiting time,pathogeny of chest pain patients and the fatal chest pain patients characteristics in emergency resuscitation room have obvious particularity.Understanding these is good for preventing and treating the disease.