本文選題：心房纖顫 + 急診��； 參考：《解放軍醫(yī)學雜志》2017年02期

【摘要】：目的探索反復急診房顫患者的臨床特征、反復就診規(guī)律及轉歸。方法對北京大學第三醫(yī)院2011年1月-2015年12月連續(xù)5年急診搶救室收治房顫患者的重復急診情況進行回顧性分析,探討影響這些患者再就診的相關因素。結果共納入908例房顫患者,女494例,男414例,年齡70.3±12.8歲。共獲取1522次首次及隨后的急診就診資料,其中重復急診患者262例(28.9%),未再就診患者646例(71.1%)。與未復診患者相比,復診患者首次急診搶救時年齡大、CHADS2-VASc評分≥2的比例高,但首次搶救室救治時間短、首次搶救后直接出院而非轉監(jiān)護室及普通病房的患者比例高。多因素分析結果顯示,CHADS2-VASc評分高和搶救時間短對反復急診有預測意義。結論反復急診的房顫患者病情較復雜,合并情況較多,但病情相對較輕。
[Abstract]:Objective to explore the clinical features, regularity and outcome of repeated emergency atrial fibrillation.Methods the repeated emergency cases of patients with atrial fibrillation admitted in emergency rescue room of Peking University third Hospital from January 2011 to December 2015 were analyzed retrospectively, and the related factors affecting the revisiting of these patients were discussed.Results A total of 908 patients with atrial fibrillation were included, including 494 women and 414 men, aged 70.3 鹵12.8 years.A total of 1522 first and subsequent emergency visits were obtained. Among them, 262 cases were repeated in the emergency department, 646 cases were not seen again.Compared with the untreated patients, the proportion of the older patients with CHADS2-VASc score 鈮，

本文編號：1769743