【摘要】 目的:了解院前疑诊急性冠状动脉综合症(ACS)患者病因及死因,以提高医疗防治水平。方法:2004年1月~2005年10月,因疑诊ACS由我院120出车接诊患者,回顾性分析接诊记录及住院病历。结果:院前疑诊ACS患者292例,ACS156例,其它心血管疾病88例,其它疾病48例。前8位病因是急性心肌梗死(AMI,29.5%)、不稳定性心绞痛(UA,24.0%)、高血压(7.2%)、心律失常(6.2%)、主动脉夹层(4.8%)、心力衰竭(4.1%)、气胸(3.8%),未确诊者(4.1%)。总死亡30例,AMI12例,主动脉夹层9例,未确诊者5例,其它4例。结论:AMI是本地区疑诊ACS患者的首位病因,死亡例数最多;主动脉夹层发病率排第5位,但死亡率最高;应加强社区冠心病、高血压知识宣传与教育。更多还原

【Abstract】 Objective:To study etiological factor and death cause of suspected acute coronary syndrome(ACS)in pre-hospital patients.Methods:The prehospital and hospital clinical records of patients who called for a 120 ambulance due to suspected ACS from 2004.1 to 2005.10 were analyzed retrospectively.Results:In all 292 patients with suspected ACS,156 patients had a final diagnosis of ACS,88 patients had a diagnosis of other cardiovascular disease and 48 patients had other diagnosis.The top 8 etiological factors were acute myocardial infarction(AMI,29.5%),unstable angina(UA,24.0%),hypertension(7.2%),arrhythmia(6.2%),dissection of aorta(4.8%),heart failure(4.1%),pneumothorax(3.8%),undetermined and diagnosis(4.1%).In all 30 dead cases,12 were due to AMI,9 were due to dissection of aorta,5 were due to diagnosis undetermined and 4 were due to other diagnosis.Conclusion:AMI was the first etiological factor of suspected ACS in pre-hospital patients in the investigated district and its dead cases were the most.Dissection of aorta was the fifth etiological factor,but its death rate was the most.Propaganda and education about coronary artery disease and hypertension should be strengthened in community.更多还原