急性心肌梗死患者就诊时间与临床症状的关系

摘要

目的 探讨急诊科就诊的急性心肌梗死(AMI)患者就诊时间与临床症状的关系.方法 以2005年1月至2008年12月于北京安贞医院急诊科就诊的急性心肌梗死患者1609例调查资料为基础,根据临床表现,将患者分为典型症状组(1509例)和非典型症状组(100例),分析AMI患者就诊时间的分布特点.结果 典型症状组中位就诊时间为2.0 h明显低于非典型症状组(中位时间3.1 h,Z=6.113,P<0.01),12 h内就诊率为90%(1360例),明显高于非典型症状组的82%(82例,P=0.01).结论 临床症状是否典型是影响AMI患者就诊时间的重要因素,加强心肌梗死知识的普及,特别是非典型症状的普及对AMI的早期发现、治疗和预后有重要意义.%Objective To analyze the relation between tlle visiting time and clinical symptoms in patients with acute myocardial infarction(AMI)at Emergency Center at Beijing Anzhen Hospital.Methods Based on 1609 patients with AMI from January 2005 to December 2008,visiting time and different clinical symptom were analyzed.Results Visiting time in typical clinical symptom group was earlier than that in atypical clinical symptom group(P<0.05).In 12 hours,visiting rate in typical clinical symptom group was higher than that in atypical group(P=0.01).Conclusions Clinical symptom is associated with visiting time.Education of AMI,expecially awareness of atypical symptom is important for early diagnosis,treatment and prognosis.