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目的:探讨门急诊救治急性心肌梗死的方法及效果。方法:回顾性分析2014年1月至2014年12月间我院门急诊收治的25例急性心肌梗死患者临床资料。结果:25例急性心肌梗死患者均抢救成功,冠状动脉再通率为76.0%(19/25);且胸闷迅速消失20例,16例溶栓6h后ST段下降50%;均未出现消化道出血、出血性脑卒中等症状。结论:门急诊救治急性心肌梗死患者中应争取尽早建立静脉通路,及时进行对症治疗,以改善患者症状,提高救治成功率。
Objective: To explore the methods and effects of emergency treatment of acute myocardial infarction. Methods: The clinical data of 25 patients with acute myocardial infarction admitted from January 2014 to December 2014 in our outpatient and emergency department were retrospectively analyzed. Results: Twenty-five patients with acute myocardial infarction were successfully rescued. The rate of coronary recanalization was 76.0% (19/25). Twenty patients died of chest tightness and 50% of ST-segment decreased after six-thrombolytic therapy in 6 patients. No gastrointestinal Bleeding, hemorrhagic stroke and other symptoms. Conclusion: Emergency treatment of patients with acute myocardial infarction should strive to establish venous access as soon as possible, and timely symptomatic treatment to improve the patient’s symptoms and improve the success rate of treatment.