院前急救对降低急性心肌梗死(AMI)的死亡率甚为重要。我科自2001年1～12月对78例AMI患者进行了院前急救,现总结如下。 一、临床资料 1,一般资料:78例AMI患者中男46例,女32例,年龄39～90岁,平均64岁。发病至抢救开始时间:0.5h以内者11例,0.5～1.9h者44例,2～6h者15例,6h以上者8例。发病时主要症状:均有胸闷、气急、恶心、出汗;伴胸痛、肩背痛或上腹痛者50例,无胸痛者28例。并发症有心律失常、左心衰竭、低血压或心源性休克。梗死部位:下后壁28例, Prehospital first aid is important for reducing mortality in acute myocardial infarction (AMI). Our department from January 2001 to December 78 AMI patients were hospitalized first aid, are summarized as follows. First, the clinical data 1, general information: 78 cases of AMI patients, 46 males and 32 females, aged 39 to 90 years, mean 64 years. The onset to rescue start time: 0.5h within 11 cases, 0.5 ~ 1.9h in 44 cases, 2 ~ 6h in 15 cases, 6h more in 8 cases. When the onset of the main symptoms: both chest tightness, shortness of breath, nausea, sweating; with chest pain, shoulder pain or upper abdominal pain in 50 cases, 28 cases without chest pain. Complications of arrhythmia, left heart failure, hypotension or cardiogenic shock. Infarction site: 28 cases of the posterior wall,