摘要
目的探讨急性左心衰竭患者院前急救的诊治方法及重要性。方法回顾性分析112例急性左心衰患者的临床资料,其中院前急救组(A组)48例,自行来院就诊患者为对照组(B组)64例,对照两组有效救治时间、治疗效果及病死率。结果A组从发病到救治的时间显著早于B组〔(13.46±2.13)min比(62.5±6.21)min,P<0.05〕。A组治疗1h后有效率优于B组,为93%比74%,P<0.05,差异有统计学意义。A组24h内病死率明显低于B组,为1.98%比4.23%,P<0.05,有统计学意义。结论院前急救可较早改善急性左心衰患者的临床症状,有效阻止病情恶化,降低病死率。
Objective To investigate the methods and importance of clinical diagnosis and treatment of first aid outside hospital in patients with acute left heart failure （ALHF）. Methods The clinical data of 112 patients with ALHF were analyzed retrospectively.Group A （n=48） was treated with first aid outside hospital and Group B （n=64） came to hospital themselves, and compare the difference of two groups with the time from appearing symptom to receiving effective treatment, the effective rate and mortality rate. Results The time from appearing symptom to receiving treatment of Group A was earlier than Group B, A：B=（13.46±2.13）min： （62.5±6.12）min, P〈0.05. The effective rate was higher than group B after receiving 1 hour treatment, A：B=93% ：74%, P〈0.05. The mortality rate was lower than group B within 24 hours,A：B=1.98% ：4.23%, P〈 0.05.The difference is significantly in statistics. Conclusion First aid outside hospital may improve the clinical symptom early.It can prevent the condition of disease from deteriorating and reduce the mortality.
出处
《中国现代医药杂志》
2009年第8期55-57,共3页
Modern Medicine Journal of China
关键词
急性左心衰
院前急救
Acute left heart failure First aid outside hospital
