院前移动ICU建设对急性胸痛患者转运安全性的影响

摘要

Objective: This study attempt to investigate the impact of construction of pre-hospital mobile ICU (intensive care unit) on the safety of transferring the acute chest pain patients. Methods: All the 1644 acute chest pain patients transferred by our ambulance from January 1st, 2010 to April 30th, 2015 were enrolled. All the patents were divided into 2 groups according to the day of construction of the CPC (Chest Pain Center). Before is group A and after is group B. The number of transferred patients and events occurred during the transferring were compared between the 2 groups. Results: 31 acute chest pain patients were transferred in about 1 year and 3 month before the construction of CPC and 2 patients died. However, 1435 acute chest pain patients were transferred in about 4 years after construction of the CPC. 10 patients were occurred ventricular fibrillation with successful CPR (cardio pulmonary resuscitation). 18 patients transferred with ventilator support and 2 of the patients with IABP support and 1 patient died. Conclusions: construction of the pre-hospital mobile ICU can improve the safety of the transferring of the acute chest pain patients.%目的：分析院前移动ICU（Mobile Intensive Care Unit）建设对急性胸痛患者转运安全性的影响。方法：研究纳入2010年1月至2015年4月30日1644名经广州军区广州总医院救护车转运的急性胸痛患者，按胸痛中心成立时间将患者分为2组，胸痛中心成立前为A组，胸痛中心成立后为B组，比较胸痛中心成立加强移动ICU建设后，转运患者数量及转运途中各类事件的变化。结果：胸痛中心成立前1年3个月共转运31例患者，2例患者转运途中死亡；胸痛中心成立后4年共转运1435名急性胸痛患者，其中10例患者出现室颤，复苏成功，18例患者带呼吸机转运，2例患者带IABP转运，1例患者转运途中死亡。结论：移动ICU建设可以大大提高急性胸痛患者转运的安全性。