摘要
目的 调查转诊社区急性心肌梗死（AMI）患者的临床特征,为制定AMI双向转诊指南提供参考.方法 回顾调查2012年7月1日～2013年6月30日镇江市单向转诊的社区AMI患者117例,根据年龄分为老年组（＞65岁）和非老年组（≤65岁）,比较两组临床特征.结果 社区AMI患者的临床特征为：非老年组男女性别比例差距大、老年组有冠心病和脑血管意外病史的较多、老年组发病时心功能较差、非老年组接受急诊冠状动脉介入（PCI）手术较多,P＜0.05.结论 转诊社区AMI患者,在性别比例、冠心病和脑血管意外病史、发病时心功能、选择急诊PCI等方面有差异.
ObjectiveTo explore acute myocardial infarction （AMI） patients＇ clinical features who were transferred from community clinic and provide reference for setting the bilateral-transfer referral guide. Methods An retrospective analysis was conducted on 117 AMI patients who were transferred in one-way referral. They were divided into two groups, group A of patients aged 65 and above, and group B of patients younger than 65. Their clinical features were compared. Results A significant difference in gander and higher number of PCI operation were found in the group B, while a higher number of coronary heart disease history and cerebrovascular accidents with poor heart function were found in group, P 〈0.05. Conclusion The following important factors should be given a consideration when referring AMI patients from community： patient＇ s gender, a history of coronary heart disease and eerebrovascular accident, and etc.
出处
《中国急救复苏与灾害医学杂志》
2015年第1期25-27,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
镇江市社会发展支撑项目（SH2010045）
关键词
社区
急性心肌梗死
患者
转诊
临床特征
Community
Acute myocardial infarction
Patients
Referral
Clinical features
