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目的:探讨急性心肌梗死(AMI)患者在基层医院规范救治流程的意义。方法:回顾性分析2004年-2008年1月我院急诊科收治的98例AMI患者在发病的不同时间窗内进行静脉溶栓、转院直接经皮冠状动脉介入(PCI)和保守治疗情况。结果:36例患者行静脉溶栓治疗,其中再通23例(63.9%);死亡1例;转院补救性PCI8例;直接PCI14例;保守治疗48例。结论:发挥基层医院急诊科优势,按流程救治AMI患者,在有效时间窗内溶栓,根据病情转院实施PCI,实现早期、完全开通冠状动脉的目标。
Objective: To investigate the significance of standardized treatment procedures in patients with acute myocardial infarction (AMI) in primary hospitals. Methods: A retrospective analysis of 98 patients with AMI admitted to our emergency department from January 2004 to January 2008 in our hospital was conducted by intravenous thrombolysis and direct percutaneous coronary intervention (PCI) and conservative treatment in different time windows. Thirty-six patients underwent intravenous thrombolysis, of which 23 (63.9%) were recanalized; one died; eight were transferred to rescue PCI; 14 received direct PCI; and 48 received conservative treatment. Conclusion: To give play to the advantages of emergency department in grass-roots hospitals, to treat patients with AMI according to the procedure, to thrombolysis within the effective time window, and to transfer the patients to PCI according to the condition to realize the goal of early and complete coronary artery opening.