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目的:统计我院急诊科1 196例心脑血管病急症的病种构成比例及与年龄的关系,分析就诊比例高的原因。探讨预防和应对就诊比例高的心脑血管病的措施。方法:将2015年1月—2016年12月期间在我院急诊科就诊的心脑血管病急症患者共1 196例,按病种统计其例数及构成比,并按年龄段统计不同年龄段的急症例数。结果:心脑血管病急症患者1 196例,其中高血压275例,占22.99%,心律失常193例,占16.14%,肺心病144例,占12.04%,心力衰竭104例,占8.7%,心脏神经症78例,占6.52%,冠心病69例,占5.77%,心脏瓣膜病47例,占3.93%,脑出血84例,占7.02%,脑梗塞93例,占7.78%,短暂性脑缺血发作59例,占4.93%,高血压脑病12例,占1.0%。其它38例,占3.18%;小于30岁者89例,占7.44%,(30~39)岁者135例,占11.29%,(40~49)岁者187例,占15.64%,(50~59)岁者209例,占17.47%,(60~69)岁者276例,占23.08%,(70~79)岁者217例,占18.14%,>80岁者83例,占6.94%。结论:心脑血管病急症中心血管疾病所占比重大,(60~69)岁者的就诊率最高,脑出血的病死率最高,所以积极防治心脑血管病的危险因素,早期发现和干预是防治心脑血管病的关键。
OBJECTIVE: To analyze the proportion of 1 196 cases of acute and cardio-cerebrovascular diseases and their relationship with age in emergency department of our hospital and analyze the causes of high proportion of visits. To explore measures to prevent and respond to cardiovascular diseases with a high proportion of visits. Methods: A total of 1 196 cases of cardiocerebral vascular disease patients who were treated in our emergency department during January 2015-December 2016 were enrolled in this study. The cases and constituent ratios were calculated by disease type. The number of emergency cases. Results: A total of 1 196 acute and cardio-cerebrovascular diseases were diagnosed. Among them, 275 cases were hypertension (22.99%), arrhythmia was 193 cases (16.14%), pulmonary heart disease was 144 cases (12.04%), heart failure was 104 cases (8.7% Neurosis 78 cases, accounting for 6.52%, coronary heart disease in 69 cases, accounting for 5.77%, heart valve disease in 47 cases, accounting for 3.93%, 84 cases of cerebral hemorrhage, accounting for 7.02%, 93 cases of cerebral infarction, accounting for 7.78% 59 cases of blood, accounting for 4.93%, 12 cases of hypertensive encephalopathy, accounting for 1.0%. The other 38 cases, accounting for 3.18%; 89 less than 30 years old, accounting for 7.44%, 135 patients (30 to 39) years old, accounting for 11.29%, (40 to 49 years) 187 cases, accounting for 15.64% 59) aged 209, accounting for 17.47%, 276 (60-69) years old, accounting for 23.08% and 217 (70-79) years old, accounting for 18.14%. 83 were over 80 years old (6.94%). Conclusion: Cardiovascular and cerebrovascular disease center occupies a large proportion of vascular diseases, the highest rate of (60 to 69) years of treatment, the highest mortality of cerebral hemorrhage, so active prevention and treatment of cardiovascular and cerebrovascular disease risk factors, early detection and intervention The key to prevention and treatment of cardiovascular and cerebrovascular diseases.