摘要
目的分析也门卡登地区急性心肌缺血综合征患者的临床特点和治疗。方法参照加拿大心血管合作协会统一设计的病例记录表(CRF),收集急性心肌缺血入院病人的资料,记录病人主要临床特征和院内事件。结果急性心肌缺血综合征(包括不稳定性心绞痛及非Q波心肌梗死)58例,平均年龄54.8岁,男性占68.2%。入院诊断不稳定性心绞痛94.8%,非Q波心肌梗死5.2%。就诊时仍有胸痛者63.7%;心电图异常者91.2%,其中56.4%为相邻导联ST段压低≥2mm。住院期间溶栓治疗8.6%,硝酸酯剂93.1%,抗凝和抗血小板治疗分别是55.1%和96.2%,冠状动脉造影12.1%,冠脉旁路移植术(CABG)3.4%,经皮冠脉腔内成形术(PTCA)8.0%。院内发生重要并发症11.2%,其中死亡3.4%。结论也门卡登地区急性心肌缺血病人以不稳定心绞痛就诊为多。住院期间由于条件设备受限,以硝酸酯剂,抗凝及抗血小板治疗率相对较高,PTCA和CABG治疗率较低。主要死亡原因为严重心律失常或猝死。
Aim To analyze the characteristics of and the therapeutic measures for patients with acute ischemic syndromes in Yemen Qatan , Methods The data of patients admitted to hospital with acute ischemic cardiac have been collected by consult filling case report forms offered by the canadian cardiovascular collaboration. The main clinical characteristics of the patients and in hospital events were recorded. Results There are fifty eight cases of acute ischemic syndromes （including unstable angina and non Q-wave myocardial infarction ）. The mean average age of the patients was 54.8, man was 68.2%. The clinical diagnosis at admission was unstable angina in 94.8% of the patients;Non Q-wave myocardial infarction was 5.2%. The percentage of patients with chest pain at presentation was 63.7%. Abnormal ECG was 91.2%. During hospitalization ：Thrombolytic therapy in 5 cases （8.6%） ;Nitrates in 54 cases （93.1%） ;Anticoagulation and anti platelet therapy were used in 32 cases （55.1%） and 48 cases （82.7%） respectively. Coronary angiography （CA） in 7 cases （12.1%） ,coronary artery bypass graft surgery （CABG） in 2 cases（3.4%） , percutaneous transluminal coronary angioplasty （PTCA） in 5 cases （8,6%）. The incidence of major in hospital events was 11.2%, including 2 deaths （3.4%）. Conclusion The patients with acute ischemic syndromes were diagnosed as unstable angina mostly in Yemen Qatan, Hospitalization period is based on a relatively high nitrates,anticoagnlation and anti platelet therapy rate but low PTCA and CABG rate because of poor equiment. The most common cause of in-hospltal death is severe arrhythmias or sudden death.
出处
《安徽医药》
CAS
2005年第8期612-613,共2页
Anhui Medical and Pharmaceutical Journal
