摘要
目的:分析10例院前中年急性心肌梗死患者的临床资料,院前救治方法,对该病的发病特点、发生机理、诊断要点及院前急救中应该注意的事项进行了总结。观察对象:符合WHO关于AMI的研究中规定的诊断标准,年龄40～60岁的中年患者。诊疗方法:根据患者症状、体征、心电图表现特征及病史快速诊断后给予高流量吸氧开通静脉通道。扩冠及对症处理,并配合心理治疗,严密监护下转送医院。结果:10例患者救治后明显好转8例,2例有所好转。结论:中年患者是特殊年龄组,其心肌梗死发病突然,症状重,多有不良病史,且易出现恶性事件。但是并发症少,阻塞血管单一,各脏器功能较好。院前及早进行医疗干预预后良好,可提高此类患者的治愈率及生存质量。
Objective, In this paper, by analyzing 10 cases pre-hospital the middle-aged patients with acute myocardial infarction clinical data, pre-hospital treatment methods, the incidence of the disease characteristics of the mechanism, diagnosis and first aid should be noted that in matters of Sum. Observation of the object： WHO in line with the AMI study on the provisions of the diagnostic criteria, aged between 40-60 years old, middle-aged Patients. Clinic： Based on the patient＇s symptoms, signs, electrocardiogram and a history of the performance characteristics of the rapid diagnosis of post-high-flow oxygen to give access to open vein. Crown expansion and symptomatic treatment, and coordinates the mental healing, under the strict guardianship passes along the hospital. Results： After 10 example patients treat and cure change for the better obviously 8 examples, 2 examples have the change for the better. Conclusion： The middle-aged patients is a special age group, the incidence of myocardial infarction all of a sudden, the symptom is heavy, has not the good medical history, also ea,sy to appear the malignant event. But the complication are few, blocks the blood vessel to be unitary, various internal organs function is good. Pre-hospital medical intervention as soon as possible a good prognosis, such Patients can improve the cure rate and quality of life.
出处
《继续医学教育》
2009年第4期40-42,共3页
Continuing Medical Education
关键词
中年人
急性心肌梗死
发病特征
院前急救
Middle-aged
Acute myocardial infarction
Incidence characteristics
Pre-hospital
