摘要
目的 :系统分析院前急诊心脏事件的发病规律 ,以便更有效地进行心血管疾病的院前急救、降低病死率。方法和结果 :分析我院 19731997年院前急诊心血管事件患者 ,发病构成比前三位的分别是 :急性冠脉事件(5 1 1% )、心律失常 (30 4% )、猝死 (8 2 % ) ;年龄段特点 :急性冠脉事件的高发年龄段为 5 170岁 ,占冠心病总例数的 6 3 8% ,心律失常高发年龄段在 6 170岁 (为 35 6 % )。急性冠脉事件各类型中 ,发生构成比占第一位为不稳定型心绞痛 ,比例为 43 4%。其次为急性心肌梗死 ,比例为 30 6 %。在 10 30例总病例数中 ,发生猝死事件的为 10 0例 ,其高发年龄段有两个 ,为 5 16 0岁年龄段 (2 9 0 % )及 6 170年龄段 (2 7 0 % )。在各类心律失常中 ,快速室上性心律失常最为多发 (占总 43 0 % ) ;室速、室颤约占室性心律失常中的 11%。 19731983年间与 19871997年间比较 ,近10年间急性心肌梗死的发病有相当的上升趋势。结论 :急性心脏事件是目前需院前急诊救治最主要的急危重症 ,而其中以急性冠脉事件的救治则更为重要。
Objective:Systemically analysis the features of the pre hospital cardiac emergent events (PHCEE), for further understanding the regularities of PHCEE, and for managing these emergent cardiac events much better and more on time.Methods and Results:Totally 1030 PHCEE cases be collected from 1973~1997, were analysed systemically. The most common PHCEE is: acute ischemic coronary syndrome/AICS(including AMI and unstable angina, 51 1%), and then the cardiac arrhythmia(30 4%), and sudden death (8 2%). The peak age stages of AICS are: 51~70 years old for (about 35 6% in all CHD cases). It should be highly noticed that: there are two peak age stages of sudden death: the first one is 51~60 year old (non retired age stage, ratio:29 0%), and the second is 61~75 years old (ratio:27 0%). In all 100 cases of sudden death, there are 74 cases who had basic cardiac diseases. In all arrhythmia cases, the paroxysmal superventricular tachycardia is most common (43 0%). The statistic results show that the morbidity of AMI had remarkably increased in recent two decades. Conclusion:The emergent cardiac events, is now in the most needed to be treated both in hospital, but especially in pre hospital, and in all cardiac events, the AICS are most common and most important to managing. For those had the history of heart diseases, it should be highly noticed that the highly increased possibility of cardiac sudden death.
出处
《军医进修学院学报》
CAS
2000年第4期273-275,共3页
Academic Journal of Pla Postgraduate Medical School
