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目的探讨绿色通道在急性心肌梗死患者急诊行经皮冠脉介入治疗(PCI)术中的应用效果。方法 72例诊断为急性心肌梗死并行急诊PCI术的患者为研究对象,回顾性分析所有患者的入院资料,从患者进入急诊室开始计算时间,记录其在抢救室停留时间、到达心内导管室和开始PCI的时间。结果本研究中72例患者均安全转运至心内导管室并接受急诊PCI术治疗,在急诊科抢救室停留平均时间为9.8 min,到达心内导管室的平均时间为15.6 min,开始PCI的时间平均为18.6 min,手术过程顺利,术后转入心内科普通病房继续治疗。抢救成功率为100%,无一例患者死亡。结论对于急性心肌梗死患者实施急诊绿色通道进行急救可以缩短患者实施急诊PCI的时间,有助于提高抢救成功率。
Objective To investigate the application of green channel in patients undergoing acute percutaneous coronary intervention (PCI) for acute myocardial infarction. Methods Seventy-two patients diagnosed as acute myocardial infarction with concurrent PCI were enrolled in this study. The hospital admission data were retrospectively analyzed. The patient’s time to enter the emergency room was calculated. The duration of stay in the emergency room, Start PCI time. Results In this study, 72 patients were safely transported to the endocardial catheterization room and underwent emergency PCI. The average stay time in the emergency department emergency room was 9.8 minutes and the average time to reach the endocardial catheterization room was 15.6 minutes. The average was 18.6 min, the operation was successful, and transferred to the General Ward of Cardiology to continue treatment after operation. Rescue success rate was 100%, none of the patients died. Conclusions The implementation of emergency green channel for emergency treatment in acute myocardial infarction patients can shorten the time of emergency PCI and improve the success rate of rescue.