AS急诊绿色通道PI术应用分析.docVIP

ACS急诊绿色通道PCI术应用分析 侯时昭龙亚秋（通讯 ） （广东省中医院急诊科广东广州510000） 】目的：探讨急性冠脉综合征患者急诊绿色通道PCI术的应用情况。 方法：对我院急诊科1年零3个月以来救治的75例急性冠脉综合征患者的一般 临床资料、病变冠脉、PCI术D2B时间的情况进行追踪分析。结果：ACS患者的 平均年龄64.85岁。ACS患者基础病的分布：高血压41.3%，糖尿病14.7%，慢性 肾衰8.0%,高尿酸血症8.0%。ACS患者行急诊PCI术的比例为68.0%,其平均 D2B 为 151.74min。病变冠脉情况：LCX 占 37.3%, RCA 占 49.0%, LAD 占 49.0%。 单支病变占74.5%,三支病变占9.8%,双支病变占15.7%。结论：ACS患者大部分 均行PCI术治疗，其的D2B时间仍未达到新指南标准。冠脉病变以前降支及右冠 的病变较为多见，且多以单支病变方式出现。 关键词】ACS,急诊绿色通道，PCI 】R197.3 】A 】2095-1752 （2016） 22-0046-03 Analysis of the application of ACS in emergency green channel PCI Hou Shizhao. Traditional Chinese Medicine Hospital of Guangdong Province, Guangdong Province, Guangzhou 510000, China Abstract】 Objective To investigate the application situation of PCI operation in acute coronary syndrome emergency Easy Access. Methods The 75 acute coronary syndrome patients of our hospital in 1 years and 3 months,tracing analysis their general clinical data,coronary artery lesion, D2B time in PCI operation.Results The average age of ACS patients was 64.85 years old. The distribution of ACS patients basic pathology: hypertension 41.3%, diabetes 14.7%,Chronic renal failure 8%, hyperuricemia 8%. ACS patients were treated with emergency PCI in the proportion is 68%, the average D2B was 151.74min.Coronary lesions: LCX accounted for 37.3%, RCA accounted for 49%, LAD accounted for 49%.The single branch lesions accounted for 74.5%,three branch lesions accounted for 9.8%,two branch lesions accounted for 15.7%. Conclusion Most of ACS patients treat with PCI operation,the D2B time has not yet reached the new guidelines.In Coronary artery disease,LCA and RCA are more common, and more appear as the single branch lesions.. Key words］ ACS; Emergency green channel; PCI 急诊绿色通道是指针对急危重症患者特别开辟的急救快速通路，它主要强调 是一个时间第一的概念，B的是以最短的吋间、最快的速度使患者得到应奋的救 治。规范、科学、系统的建设管理急救绿色通道，体现急诊急救“快速、高效、 优质”的内涵［1】。 急性冠脉综合征(Acute coronary syndrome，ACS)是常见的严重心血管疾病， 是急诊绿色通道的重要病种之-，它包括急性ST段抬高心肌梗死(ST-elevated myocardial infarction, STEMI)、急性非 ST 段抬高心肌梗死(non ST-el