急诊抢救室胸痛患者特征及致命性胸痛危险因素分析

doi:10.3969/j.issn.1002-1949.2019.04.010

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摘要目的了解急诊抢救室胸痛患者的临床特征并分析致命性胸痛的危险因素。方法收集2015年12月至2018年11月上海市第五人民医院急诊抢救室以胸痛为主诉的844例患者资料，对其人口学特征、就诊时间、病因、生命体征等状况进行回顾性分析。结果患者平均年龄为（63.12±15.53）岁，病因以急性冠脉综合征（ACS）居多，共355例（42.06%），就诊时间为12∶00～16∶00的胸痛患者诊断为ACS的比例最高（51.33%），20∶00～24∶00就诊的患者诊断为ACS的比例最低（31.11%）。男性、低血压、心率减慢是致命性胸痛的危险因素（P＜0.05)。结论急诊胸痛患者的就诊时间、病因以及致命性胸痛患者的特征都比较明显，了解这些特征有利于临床更好的防治胸痛。

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	张学敏
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	诸卫英
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	黎健

关键词 ：急诊抢救, 胸痛, 特征, 危险因素

通讯作者: 黎健（1975-），男，博士，主任医师，E-mail:nclijian@163.com。

作者简介: 张学敏（1974-），男，硕士，副主任医师，E-mail:zhangxm922@126.com。

引用本文:

张学敏，陆刚，诸卫英，唐建国，黎健. 急诊抢救室胸痛患者特征及致命性胸痛危险因素分析[J]. 中国急救医学, 2019, 39(4): 343-346.
Zhang Xue-min, Lu Gang, Zhu Wei-ying, Tang Jian-guo, Li Jian. Analysis of the chest pain patients characteristics and fatal risk factors in emergency resuscitation room. Chinese Journal of Critical Care Medicine, 2019, 39(4): 343-346.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.04.010 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I4/343

［1］Goodacre S, Cross E, Arnold J, et al. The health care burden of acute chest pain［J］. Heart, 2005, 91(2): 229-230. ［2］薛军，韩占红，王明晓，等.北京市急诊胸痛的病因学调查分析［J］.中国综合临床, 2012, 28(10):1042-1046. ［3］McConaghy JR, Oza RS. Outpatient diagnosis of acute chest pain in adults［J］. Am Fam Physician, 2013, 87(3): 177-182. ［4］Nowak R, Mueller C, Giannitsis E, et al. High sensitivity cardiac troponin T in patients not having an acute coronary syndrome: results from the TRAPID-AMI study［J］. Biomarkers, 2017, 22(8): 709-714. ［5］Bhuiya FA, Pitts SR, McCaig LF. Emergency department visits for chest pain and abdominal pain: United States,1999-2008［J］. NCHS Data Brief, 2010, 9(43): 1-8. ［6］Wnorowski AM, Halpern EJ. Diagnostic Yield of Triple-Rule-Out CT in an Emergency Setting［J］. AJR Am J Roentgenol, 2016, 207(2): 295-301. ［7］Ropp A, Lin CT, White CS. Coronary computed tomography angiography for the assessment of acute chest pain in the emergency department:evidence, guidelines, and tips for implementation［J］. J Thorac Imaging, 2015, 30(3): 169-175. ［8］Ilangkovan N, Mogensen CB, Mickley H, et al. Prevalence of coronary artery calcification in a non-specific chest pain population in emergency and cardiology departments compared with the background population:a prospective cohort study in Southern Denmark with 12-month follow-up of cardiac endpoints［J］. BMJ Open, 2018, 8(3): e018391. ［9］Nehme Z, Cameron PA, Akram M, et al. Effect of a mass media campaign on ambulance use for chest pain［J］. Med J Aust, 2017, 206(1): 30-35.〖ZK)〗 ［10］Jia EZ, Liu Z, Chen AJ, et al. Meteorological Parameters and the Onset of Chest Pain in Subjects with Acute ST-Elevation Myocardial Infarction:an Eight-Year,Single-Center Study in China［J］. Cell Physiol Biochem, 2014, 34(5): 1589-1596. ［11］Madrigano J, Mittleman MA, Baccarelli A, et al. Temperature,myocardial infarction, and mortality:effect modification by individual-and area-level characteristics［J］. Epidemiology, 2013, 24(3): 439-446. ［12］Rawshani A, Rawshani N, Gelang C, et al. Emergency medical dispatch priority in chest pain patients due to life threatening conditions:A cohort study examining circadian variations and impact of the education［J］. Int J Cardiol, 2017, 236: 43-48. ［13］Albus C, Barkhausen J, Fleck E, et al. The diagnosis of chronic coronary heart disease［J］. Dtsch Arztebl Int, 2017, 114(42): 712-719. ［14］Asaria P, Elliott P, Douglass M, et al. Acute myocardial infarction hospital admissions and deaths in England:a national follow-back and follow-forward record-linkage study［J］. The Lancet Public health, 2017, 2(4): e191-e201. ［15］Mabrouk B, Anis C, Hassen D, et al. Pulmonary thromboembolism:incidence, physiopathology,diagnosis and treatment［J］. Tunis Med, 2014, 92(7): 435-447. ［16］Wong CP, Lui CT, Sung JG, et al. Prognosticating Clinical Prediction Scores Without Clinical Gestalt for Patients With Chest Pain in the Emergency Department［J］. J Emerg Med, 2018, 54(2): 176-185.