72 cases of pre-hospital emergency clinical analysis of patients with acute myocardial infarction.docVIP

 PAGE \* MERGEFORMAT 8 72 cases of pre-hospital emergency clinical analysis of patients with acute myocardial infarction [Keywords:] pre-hospital care; acute myocardial infarction Acute myocardial infarction (AMI) is a common disease, is caused by the death of the three major human diseases is currently one of the most common one of thromboembolic disease .50% of the deaths occurred within 1 h in the pathogenesis [1], while arrhythmia, heart failure, cardiogenic shock is an important cause of death, the implementation of rapid and effective pre-hospital care can reduce mortality and improve prognosis. I hospital emergency department in January 2006 ~ December 2008 72 patients with AMI active pre-hospital emergency treatment, to obtain good effect. are reported below. Materials and Methods 1. General Information The group of 72 patients, 48 male and 24 female, aged 46 to 70 years, an average of 58 + -8 years old. Reception time of onset to 15 min ~ 7 h. extensive anterior wall infarction in 19 cases, 16 of anteroseptal infarction cases of patients with inferior wall infarction l1. Past history: 51 patients with coronary heart disease, diabetes in 12 cases, 47 cases of hypertension. All the cases are consistent with established coronary heart disease in 1979 WHO diagnostic criteria. 2. First aid measures According to the clinical manifestations and first make a preliminary diagnosis of ECG and implement local rescue, to take absolute bed rest, rapid application of sedation analgesia and nitrate drugs, continuous oxygen, and intravenous access as quickly as possible, strict ECG monitoring, monitoring vital signs, observe whether the arrhythmia. there were frequent premature ventricular contractions, the slow intravenous injection of lidocaine 50 mg, followed by adding 250 ml 5% glucose intravenous infusion of lidocaine 200 mg (30 drops / min) to maintain or given amiodarone hydrochloride 150 mg slow intravenous injection of 20 ml normal saline