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目的探讨老年人心脑血管病院外急症病例的特点,为进一步提高院前急救水平提供依据。方法对818例60岁以上老年人心脑血管病院外急症病例的临床资料,进行回顾性分析。结果在818例患者中,属心血管疾患有726例,占88.75%,属脑血管疾患92例,占11.25%,经过临床分析:发病多在12、1、2、3月份,且与气候、情绪变化、工作劳累、活动量突增都成正比关系。结论要高度重视心脑血管病的猝死前的各种信号,争分夺秒,忙而不乱,紧急救治,是把病死率限制到最小范围的关键。
Objective To investigate the characteristics of emergency cases of cardio-cerebrovascular disease in the elderly and to provide basis for further improving the level of first aid before hospitalization. Methods The clinical data of 818 cases of extra-hospital cardiocerebrovascular disease patients over the age of 60 were retrospectively analyzed. Results Among the 818 patients, 726 were cardiovascular diseases, accounting for 88.75%. Of them, 92 were cerebrovascular diseases, accounting for 11.25%. After clinical analysis, the incidence was mostly in January, January, February and March, Emotional changes, work fatigue, sudden increase in activity are proportional. Conclusions It is necessary to attach great importance to the various signals of sudden death before and after cardiocerebral vascular disease. It is the key to limit the fatality rate to the minimum range in order to fight against time, busy without disturbance and emergency treatment.