Suppr超能文献

[疑似急性心肌梗死患者的院前阶段:奥尔特纳心脏急救研究结果]

[The prehospital phase of patients with suspected acute myocardial infarct: results of the Oltner Cardiac Emergency Study].

作者信息

Pfister R, Gaillet R, Saner H, Pirovino M, Castelli I, Gaspoz J M

机构信息

Kantonsspital Olten.

出版信息

Schweiz Med Wochenschr. 1997 Mar 22;127(12):479-88.

PMID:9148399
Abstract

Early reperfusion in acute myocardial infarction has been shown to reduce myocardial damage and to improve prognosis. The goals of this study, the Olten Cardiac Emergency Study, were to identify the factors, related to the patients or to the emergency medical services, which influenced pre-hospital delay in patients with symptoms suggestive of acute myocardial infarction. From November 1, 1992, to June 15, 1993, all the events occurring between symptom onset and hospital discharge where analyzed for 341 such patients who were cared for by the emergency networks connected with the Cantonal Hospital, Olten: in addition, follow-up at 3 months was obtained on all patients discharged alive. Of the 341 patients, 14 (4.1%) died out of the hospital. The final diagnoses of the 327 patients admitted to the emergency department were: acute myocardial infarction 18.3%; unstable angina 10.1%; stable angina 3.4%; non-ischemic cardiac diseases 29.4%; other non-cardiac diseases 38.8%. Mean delay between symptom onset and arrival at the hospital was 8 h 55 min (median delay 4 h 10 min); for patients with a final diagnosis of acute myocardial infarction, mean delay was 9 h 43 min (median delay 5 h 10 min). Patient delay was surprisingly long and represented 70.4% of the total pre-hospital delay; 56.6% of the patients did not realize that their symptoms were serious and only 47.1% (and 68.3% of the patients with acute myocardial infarction) came to the hospital by ambulance. These long pre-hospital delays were responsible for the low (13.3%) thrombolysis rate of patients with acute myocardial infarction. We conclude that pre-hospital delay was much too long in our population. Improvements can only be achieved through patient education and better efficiency of emergency networks. Our findings underline the need for public education campaigns on heart attacks.

摘要

急性心肌梗死早期再灌注已被证明可减少心肌损伤并改善预后。本研究即奥尔滕心脏急救研究的目的是确定与患者或紧急医疗服务相关的因素,这些因素会影响有急性心肌梗死症状患者的院前延误情况。从1992年11月1日至1993年6月15日,对由与奥尔滕州立医院相关的急救网络护理的341例此类患者,分析了症状发作至出院期间发生的所有事件;此外,还对所有存活出院患者进行了3个月的随访。在这341例患者中,14例(4.1%)死于院外。急诊科收治的327例患者的最终诊断结果为:急性心肌梗死18.3%;不稳定型心绞痛10.1%;稳定型心绞痛3.4%;非缺血性心脏病29.4%;其他非心脏疾病38.8%。症状发作至入院的平均延误时间为8小时55分钟(中位延误时间4小时10分钟);最终诊断为急性心肌梗死的患者,平均延误时间为9小时43分钟(中位延误时间5小时10分钟)。患者延误时间惊人地长,占院前总延误时间的70.4%;56.6%的患者没有意识到自己的症状很严重,只有47.1%(急性心肌梗死患者为68.3%)乘坐救护车前来医院。这些较长的院前延误导致急性心肌梗死患者的溶栓率较低(13.3%)。我们得出结论,我们所研究人群的院前延误时间太长。只有通过患者教育和提高急救网络的效率才能实现改善。我们的研究结果强调了开展心脏病发作公众教育活动的必要性。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验