急性左心衰患者50例院前急救临床分析

目的探讨急性左心衰患者院前急救的临床效果。方法回顾性分析98例急性左心衰患者的临床资料，其中院前急救组（A组）50例，自行来院就诊患者为对照组（B组）48例，对两组有效救治的时间、治疗效果及病死率进行比较。结果A组从发病到救治的时间显著早于B组[（10．52±2．11）min比（45．23±5．23）min．P〈0．05]。A组治疗1h后有效率优于B组，差异有统计学意义（96％比79％，P〈0．05）。A组24h内病死率明显低于B组的，差异有统计学意义（2．16％比4．52％，P〈0．05）。结论院前急救可较早改善急性左心衰患者的临床症状，阻止病情恶化，降低病死率。

Clinical analysis of first aid outside hospital in patients with acute left ventricular dysfunction

Objective:To investigate the clinical efficacy of First Aid Outside Hospital in the Patients with acute left heart failure (ALHF). Methods:The clinical data of 98 patients with ALHF were analyzed retrospectively.The patients were divided into Group A (n=50) and Group B (n=48) .Group A was treated with first aid outside hospital and Group B came to hospital themselves. Results:The time from appearing symptom to receiving treatment of Group A was earlier than Group B.The mortality rate was lower than Group B.The effective rate was higher than Group B.Conclusion:First aid outside hospital may improve the function of heart early.It can prevent the condition of disease from deteriorating and reduce the mortality.