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題 名 | Primary Percutaneous Coronary Angioplasty for Acute Myocardial Infarction at a Rural Area Hospital--A Great Difference from the Ideal=鄉村地區急性心肌梗塞的直接冠狀動脈整型術的治療--與理想的大差距 |
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作 者 | 陳志暐; 林志達; 林庭光; 陳炳臣; 林俊龍; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 23:4 2007.12[民96.12] |
頁 次 | 頁225-233 |
分類號 | 416.262 |
關鍵詞 | 直接冠狀動脈整型術; 急性心肌梗塞; 鄉下醫療; Primary percutaneous coronary angioplasty; Acute myocardial infarction; Rural medicine; |
語 文 | 英文(English) |
中文摘要 | 背景 直接冠狀動脈整型術已被視為急性ST波上升心肌梗塞的標準治療方式。在此我們將對治療在鄉下地區施行的情形進行了解。方法 我們查閱自2001年2月至2005年10月,因急性ST波上升心肌梗塞到佛教慈濟大林綜合醫院就診並接受直接冠狀動脈整型術治療的病患的病歷,收集所有病忠的基本資料、實驗室檢查數據、預後及所有併發症。結果 總共收集140位病患。從胸痛發作到醫院就醫的平均時間為17分鐘,從到院至冠狀動脈再灌流的平均時間為169分鐘,冠狀動脈整型術的成功率為99.2%,住院期間死亡率為10.7%,平均住院時間為9.32天,2.1%的病患發生缺血性腦中風,沒有病患發生出血性腦中風。我們發現白血球教可預測住院其間的死亡率而使用angiotensin轉化酶抑制劑與住院期間死亡率具負相關。結論 鄉下地區急性ST波上升心肌梗塞的病患通常會較延遲就醫,有較高的死亡率及較長的住院時間。投注心力以改善這些缺點是必要的。 |
英文摘要 | Background: Primary percutaneous coronary intervention (PCI) is recommended as a standard treatment for acute ST-elevation myocardial infarction (STEMI). We sought to understand how this treatment is implemented in a rural area. Methods: We reviewed charts of acute STEMI patients admitted between February 2001 and October 2005 to Tzu Chi Da Lin General Hospital and managed with primary PCI, We collected baseline information, laboratory data, outcomes and complications. Results: We enrolled 140 patients. 1ean time front chest pain to arrival at the hospital was 178min from arrival to reperfusion was 169min. The success rate was 99.2% (PCI failed in one case). The in-hospital mortality late was 10.7% and the average hospital stay was 9.32 days. The rate of ischemic stroke was 2.1%; no patient had hemorrhagic stroke. WBC counts predicted in-hospital mortality, and use of ACE inhibitors was associated with reduced in-hospital mortality. Conclusion: Patients in rural areas with acute STEMI are usually delayed for treatment and have a higher mortality rate and longer hospitalization. Efforts to improve these outcomes arc warranted. |
本系統中英文摘要資訊取自各篇刊載內容。