在加纳阿克拉的两个高等中心,急性胸痛的模式
Alfred Doku1,2,3, Tom A Ndanu3,4, Frank Edwin5
1National Cardiothoracic Centre, Korle-Bu Teaching Hospital, Accra, Ghana.
Ghana medical journal
|October 14, 2024
概括
危及生命的胸痛,包括急性冠状动脉综合征,在阿克拉很常见. 改善医院前和医院内护理对于更好的患者结果至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 危及生命的急性胸痛是一个重大的临床挑战.
- 急性冠状动脉综合征是与胸痛相关的死亡的主要原因.
- 对急性胸痛的医院前和医院内护理可能是不理想的.
研究的目的:
- 评估急性危及生命的胸痛的临床表现和评估.
- 确定导致胸部疼痛的各种危及生命的疾病的患病率在加纳阿克拉.
- 确定这些患者在医院前和医院内护理方面的差距.
主要方法:
- 在加纳阿克拉的两个三级医院的急诊室进行了一项横截面研究.
- 在2018年4月至6月期间出现急性胸痛的成年患者 (≥18岁) 被纳入.
- 收集了关于临床表现,诊断和护理过程的数据.
主要成果:
- 在232名患者中,31.9%患有危及生命的疾病,主要是急性冠状动脉综合征 (82.4%).
- 只有6.6%的患有危及生命的患者使用救护车进行运输.
- 显著的比例 (44.3%) 在症状出现后2-9天寻求治疗;诊断成像未得到充分利用.
结论:
- 在阿克拉,急性胸痛的危及生命的原因普遍存在.
- 迫切需要加强医院前紧急医疗服务和医院内诊断和治疗方案.
- 改善及时获得护理和适当的调查对于减少发病率和死亡率至关重要.
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