急性心肌梗死院前延迟的影响因素及应对策略

Influencing factors and coping strategies of prehospital delay in acute myocardial infarction

急性心肌梗死治疗在于及时恢复梗死相关动脉血供,缩短再灌注时间是减少心肌受损关键,心肌总缺血时间包括院前时间和院内时间,多项研究显示通过设立胸痛中心和协同救治体系缩短了院内延迟时间,院前延迟时间还有待改善,本文对院前延迟相关影响因素进行归纳总结并对改进措施提出参考意见。

The treatment of acute myocardial infarction is to restore the infarct related artery blood flow in time.Shortening the reperfusion time is the key to reduce myocardial damage.The total myocardial ischemia time includes pre-hospital time and in-hospital time.Several studies have shown that the in-hospital delay time could be shortened by setting up chest pain center and collaborative treatment system,and pre-hospital delay time needs to be improved.This paper reviews the influencing factors of pre-hospital delay and put forward suggestions for improvement measures.