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目的 总结我院 1987～ 2 0 0 0年 5 0 0例急性心肌梗死患者入院时间 ,来分析我国急救系统的差距 ,以便今后有的放矢地改进工作。方法 由于我院医疗习惯为确诊急性心肌梗死后紧急收住入院再行溶栓治疗 ,故入院时间即为获得治疗时间 (time-to -treatment) ,分别比较急性心肌梗死患者在 6h内和 12h内入院的病例数和所占比例。结果 急性心肌梗死患者疼痛发作至入院时间在 6h内完成者和在 12h内完成者比例均较低 ,14a来提高不明显。结论 我国急性心肌梗死患者在溶栓时间内入院比例较低 ,常常错过溶栓时机 ,严重影响了急性心肌梗死患者早期的康复 ,说明我国急救系统效率仍然低下 ,有待改进和提高。
Objective To summarize the admission time of 500 patients with acute myocardial infarction in our hospital from 1987 to 2000 so as to analyze the disparity in the emergency treatment system in our country so as to improve the work in the future. Methods Because of the hospital’s medical habits for the emergency diagnosis of acute myocardial infarction hospital admission and then thrombolytic therapy, so the admission time is to obtain treatment time (time-to-treatment), were compared within 6h and within 12h of patients with acute myocardial infarction Admitted to the number of cases and the proportion. Results The percentage of patients with acute myocardial infarction who were admitted to hospital within 6 h and completed within 12 h after the onset of acute myocardial infarction was lower than that after 14 h. Conclusions The hospitalization rate of acute myocardial infarction patients in our country is relatively low during the thrombolytic time and often missed the timing of thrombolysis, which seriously affected the early rehabilitation of patients with acute myocardial infarction. This shows that the efficiency of our emergency system is still low and needs to be improved and improved.