急性胸痛患者临床特征及致命性胸痛危险因素分析

Clinical characteristics of acute chest pain and risk factors for fatal chest pain

目的 探讨急性胸痛患者的临床特征,并分析致命性胸痛的危险因素。方法 连续收集2019年4月至2022年3月急诊科以胸痛为主诉的431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分析。结果 共纳入急性胸痛患者431例,男292例,女139例。年龄中位数为65岁,高发就诊年龄段为55~74岁。胸痛患者高发就诊月份为3月(11.6%,50/431),高发就诊时间段为20∶01~24∶00(14.6%,63/431)。病因以急性冠脉综合征占比最高,为63.8%(275/431)。男性、吸烟史、高脂血症、糖尿病、低血压、心率减慢、指脉氧降低是致命性胸痛的危险因素(P<0.05)。结论 急性胸痛患者的临床特征及致命性胸痛的危险因素为胸痛患者的进一步诊治,减少病死率和降低并发症有重要意义。

Objective To investigate the clinical characteristics of of acute chest pain and to analyze the risk factors for fatal chest pain.Methods Clinical data of 431 patients with chest pain admitted to the Emergency Department of our hospital from April 2019 to March 2022 were collected for analyzing the demographic characteristics,visiting time,causes and vital signs.Results A total of 431 patients(292 males and 139 females)were included.The median age and the age group with the high incidence of medical visit were 65 years and 55-74 years,respectively.The high-incidence month of chest pain onset was March(11.6%,50/431),and the high-incidence of medical visit for chest pain was 20∶01 to 24∶00(14.6%,63/431).Acute coronary syndrome(ACS)was the most common cause of chest pain,accounting for 63.8%(275/431).Male gender,smoking history,hyperlipidemia,diabetes mellitus,hypotension,heart rate decrease,and finger oxygen saturation decrease were risk factors for fatal chest pain(all P<0.05).Conclusion The clinical characteristics of patients with acute chest pain and the risk factors for fatal chest pain are of great significance to the further diagnosis and treatment of chest pain,and to reduce the mortality and incidence of complications.