摘要
急性冠脉综合征(ACS)是严重的心脏事件,是心血管病主要死亡原因之一,随着再灌注时代的到来,ACS的救治水平得到大幅度地提升,而依托着救治指南、临床路径、胸痛中心等规范化治疗手段和体系的建立,使得我国ACS院内总死亡率降至5%~6%,但正是在多方力量共同努力的当下,ACS的死亡率却进入了下降瓶颈。随着我国分级诊疗制度等新就诊模式的推行,ACS的救治将面临新一轮的挑战。本文将目前ACS的流行病现况、救治进展及面临的问题进行阐述,旨在推进我国对ACS等重大疾病救治策略的完善,为进一步降低其死亡率提供帮助。
Acute coronary syndrome( ACS) is a serious cardiac event,which is also one of the major causes of cardiac death. With the advent of reperfusion therapy,the treatment level of ACS has been improved significantly. In China,the overall in-hospital mortality of ACS has dropped 5% ~ 6% owing to the published treatment guidelines,establishment of clinical pathways, and formulation of standardized treatment systems in the chest pain management center. However, under such circumstances,the overall mortality of ACS does not continue to decline. With the implementation of hierarchical medical system and other new modes of seeking treatment in China,the treatment of ACS is facing new challenges. We summarized the recent prevalence,advances and difficulties in treatment of ACS in order to provide a reference for improving the treatment strategies and reducing the mortality for ACS in China.
作者
代畅
李兴德
DAI Chang LI Xing-de(Department of Cardiology, First Affiliated Hospital of Ku,nming Medical University, Kunming 650032, Chin)
出处
《中国全科医学》
CAS
北大核心
2017年第23期2906-2910,共5页
Chinese General Practice
关键词
急性冠状动脉综合征
流行病学
急救
胸痛中心
临床路径
信息系统
Acute coronary syndrome
Epidemiology
First aid
Chest pain management center
Critical pathways
Information systems