60岁以上急性心肌梗死患者近期转归的影响因素

Early Outcome Effected Factors of Patients Above 60 Years with AMI (Acute Myocardial Infarction)

目的:分析60岁以上急性心肌梗死(AMI)患者近期转归的影响因素。方法;将363例AMI患者按是否经过院前救治分为A组(333例)与B组(30例)。分析院前救治的时间、溶栓时间、溶栓再通率、5周住院病死率。结果:A组1小时内得到院前救治者98例,5周住院病死率14.25%,院前溶栓55例,再通率74.54%,5周住院病死率5.45%;院内溶栓124例,再通率76.61%,5周住院病死率16.12%。B组5周住院病死率30.0%。结论:经过120急救系统院前急救的老年AMI病人5周住院病死率下降,且院前救治的时间越早,5周住院病死率越低。

Purpose; Analysis the early outcome effected factors on AMI patient aged above 60 years. Methods:363 AMI patients were di-vided into pre-hospital treated group A( n =333) and control group B( n =30). Analysed times of pre-hospital emergent treatment, time of thrombolysis, reperfusion rate of thrombolysis and 5 week mortality. Results: In group A, the 5 week mortality of 98 patients treated within one hour after onset of AMI was 14. 25%. The reperfusion rate of 55 patients( group A) with pre-hospital thrombolytic therapy was 74. 54% and the 5 week mortality was 5. 45%. The repeifusion rate of 124 patients of in - hospital thrombolytic therapy was 76. 61 % and 5 week mortality was 16. 12%. The 5 week mortality of 30 patients was 30% (group B). Conclusion:The emergency call of 120 early for emergency pre-hospi-tal treatment can reduce the mortality of the aged patients with AMI.