【摘要】 目的了解急性ST段抬高心肌梗死(STEMI)患者早期住院治疗状况。方法收集2001年1月1日—2005年6月30日,天津医科大学第二医院心脏科因急性STEMI住院的患者病历资料,调查内容包括住院早期再灌注治疗和药物治疗的情况。结果共调查STEMI患者773例,其中男性555例,占71.80%,女性218例,占28.20%;年龄中位数为66.0岁。患者住院天数中位数为11.0d;从发病到进入病房时间呈非正态分布,中位数为210min;接受溶栓治疗的患者从进入病房到开始溶栓治疗时间中位数为60min;接受直接经皮腔内冠脉成形术治疗的患者从进入病房到球囊打开时间中位数为100min。在治疗方案的选择方面,男性、相对年轻者(年龄<65岁)以及享有医疗保险的患者较多选择介入治疗,而女性、高龄患者(年龄≥65岁)以及无医疗保险者较多倾向于保守治疗或溶栓治疗。结论STEMI患者早期住院治疗状况优于此前的调查结果,但与2004年ACCA/HA急性心肌梗死治疗指南的要求有一定差距。更多还原

【Abstract】 Objective To investigate clinical treatment status in early hospitalized patients with acute ST-segment elevated myocardial infarction(STEMI).Methods The data of hospitalized patients with STEMI admitted between January 2001 and June 2005 were retrospectively collected and studied from medical records of the 2nd Hospital of Tianjin Medical University.Results A total of 773 cases were investigated,71.80% of the patients were male,the median age was 66.0 years,and the hospitalization duration was 11.0 days.The median duration from the onset of STEMI to the arrival in the wards was 210 min.The median initiation time of door-to-needle or door-to-balloon treatment for reperfusion therapy was 60 and 100 minutes,respectively.As to the selection of the reperfusion strategies,patients who were male,younger(age<65 years)and with medical insurance,were prone to PCI therapy compared with their counterparts.Conclusion Although the status of the early hospitalization treatment status in patients with acute STEMI in 2nd Hospital of Tianjin Medical University was superior to what had been reported previously,the treatment plans recommended in ACC/AHA Guidelines(2004) were still under-utilized.更多还原