Delayed treatment of acute myocardial infarction Analysis
Of: Wang Xiaoli, Zhu Xuemin, Liu Xiaoli, Zhang Bo, Huang Yu-
[Keywords:] Acute myocardial infarction; treatment delay; Health education
Heart disease and stroke, cancer constitute the majority of
countries of the three killer diseases, including acute myocardial infarction is the highest heart disease mortality common disease. Studies have shown that thrombolysis, anticoagulation and antiplatelet acute myocardial infarction effective treatment, but thrombolytic therapy must be used within 6 h has been effective . However, within 6 h in an effective thrombolytic therapy in patients receiving very little. In this paper, causes and treatment of patients with treatment of the following reasons for the delay.
1 Materials and Methods
The group collected our hospital patients with acute myocardial infarction in 54 cases, including 28 males and 26 females, aged 46 to 70 years old. All the cases were admitted to hospital incidence of 1 week, and myocardial infarction by
ECG and enzymatic indicators confirm illness. Factors visits and treatment were delayed arrival at the hospital within 72 h, the Beijing Medical Questionnaire delay factor scale of Sharon's treatment changes completed.
2.1 The basic situation of treatment of patients
Patients 30 min after the onset can be to find people who can provide help, the sick leave the house after the time 1 ~ 30 h, most of the patients and their families that need emergency treatment, family visits escorted by the way, did not ask ambulance. Patients to reach hospital and receive treatment, the average time (14.88 +-10.46h, which is less
than 3 h in 3 cases (5.56%, 3 ~ 6 h in 10 cases (18.52%, 6 ~ 12 h in 18 cases (33.33% , more than 12 h in 23 cases (42.59%.
2.2 related to disease in patients with mastery of knowledge
That acute myocardial infarction in patients with this disease, 45 cases (83.33%, knowing the risk factors of acute myocardial infarction in 13 cases (24.07%, risk individuals
know they are 7 cases (12.96%, that thrombolytic therapy in 1 case (1.85 %.
2.3 patients have disease-related sources of knowledge
Acute myocardial infarction patients to understand their educational level, occupation, economic level and other
factors. The knowledge of acute myocardial infarction from relatives, friends of similar history of 28 cases (51.85%, from past history, 11 of the cases (20.37%, from the Internet, books, television and other media in 6 cases (11.11%, the disease is not known before admission, 9 patients (16.67%.
2.4 The situation of hospital admissions for patients
After the patients arrived at the hospital emergency room admissions time of about 10 ~ 15 min, general out-patient of
about 2 ~ 3 h. After the completion of patient arrival at the hospital ECG time for emergency room about 30 min, general out-patient of about 2 h.
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3.1 The reasons for the delay caused by treatment of patients
Poor awareness of the Health of residents in the region, lack of timely disease prevention and control concept, residents do not understand the disease-related knowledge.
Diagnosis and treatment of Medical institutions at all levels, uneven, do not have the conditions of thrombolytic therapy did not timely referral of patients, The hospital did not have the conditions to establish the corresponding fast channel, resulting in delayed patient treatment and therapy, which treatment abroad and the reasons for such delay .
3.2 The measures and methods to improve
3.2.1 promotion of public Health education public Health education must include all age groups, education focused on
how the prevention and treatment of acute myocardial infarction, so that people consciously adopt Healthy behaviors
and reduce the incidence of acute myocardial infarction, disability and mortality. Health education needs of community participation in a number of departments, a hospital can take measures: ?? primary prevention, missionaries were mainly
coronary heart disease risk factors, health behavior patterns of living, the control method of coronary heart disease risk factors . can be used in the form of lectures, using video and other media, once a week to explain. by the clinic, ward and
clinic out of publicity, recommended that all patients with coronary heart disease over 35 years old who did not participate. ?? secondary prevention, aimed at preventing and reducing again, the risk of acute myocardial infarction. Health education is primarily aimed at identifying the
symptoms and infarction myocardial infarction occurred to treatment, care and rehabilitation after infarction knowledge.
3.2.2 build quick access hospital treatment should be responsible for triage personnel to strengthen education so
that they have acute myocardial infarction in health knowledge, understanding of the Medical emergency of acute myocardial infarction, early treatment should be to guide the treatment of patients directly to specialized departments. Professional departments treatment of acute myocardial infarction should be established team responsible for patient admissions and the development of examination and treatment measures .
3.2.3 strengthen the capacity of relevant professional departments of emergency treatment of acute myocardial infarction should be established clinical guidelines, emergency treatment to enhance the accuracy and
standardization. Of anticoagulation, thrombolysis and intervention, but there are certain risks and other effective
methods of treatment before and after treatment to establish Medical and nursing practices, diagnosis and treatment of acute myocardial infarction by the group responsible for coordinating implementation.
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