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急性心肌梗死患者入院时Killip分级与预后的关系(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第1期
页码:
32-33
栏目:
论著
出版日期:
2001-01-25

文章信息/Info

Title:
The relationship of Killip class on admission and prognosis of acute myocardial infaretion
作者:
高友山1; 钱学贤1; 马大波2
1．第一军医大学珠江医院心内科．广东广州510282； 2.广州军区武汉总医院心内科
Author(s):
GA0 You-shan1; QIAN Xue-xian1; MA Da-bo2
1．Department of Cardiology，Zujiang Hospital，First Military Medical University．Guang zhou Guangdong 510282,China，2.Department of Cardiology，Wuhan General Hospital of Guangzhou Command of PIA
关键词:
心肌梗死; 急性; Killip分级; 预后
Keywords:
myocardial infarction; actue; Killip classification; prognosis
分类号:
R542.2
DOI:
-
文献标识码:
A
摘要:
分析413例急性心肌梗死患者入院时Killip分级与临床预后的关系．结果：Killip I级组和Killip II级以上组性别及既往史无差异。但Killip II级以上组较I级组年龄大(67士12vs60士l0)、血清肌酸磷酸激酶(CK)峰值高(3469士1757vs1966士1795，P<0．01)、左室舒张末期容积大(185士16vs125士47．P<0．01)．住院病死率高(47．9% vs 11.2% ，P<0-01)。多元Logistic回归分析发觋Killip分级与住院病死率(回归系数为2．34，OR值5．43，P<0。01)和左室舒张末期容积(回归系效为0．675，OR值4．51．P<0．05)相关．但与年龄、CK峰值相关不明显．结论一急性心肌梗死入院时Killlp分级为住院痛死率及左室扩张的独立相关因子。
Abstract:
Analyzing the relationship of Killip class on admission and prognosis in 413 cases of acute myocardia1 infarction． RESULTS There are no difference between patients with Killip class l and Killip class> 2 in sex and history．Comparing with patients with Killip class l，patients with Killlp class> 2 were older(67士12 vs 60士10)，had higher peak creatine kinase level(3469士l757 vs 1966士l795，P< 0.01),had bigger 1eft ventricular end-diastolic volume (185士l6 vs 125士47，P< O．O1)，and had higher in-hospita1 martality (47．9 vs l1．2 ，P< O．O1)．Multiple Logistic regression indicated that Killip classification correlated with in-hospital martality and left ventricular end-diastolic volume，but did not correlated with age and peak ereatine kinase 1eve1．CONCLUSION Killip class on admission in patients with acute myocardia1 infarction was the independent correlative factor of in-hospitaI mortality and left ventricular end-diastolic volume．

参考文献/References

[1]Lee KL，Wondliof LH，ToFol EJ，et al ．Predictors of 30-day mortality in the era of reperfusion for acute myocardlal infarctioa[J].Circulation,l995，91(6):l699．

[2]Rorleau JL，Talajic M,Sussex B，et al．Myocardial infarctioa patients in tha 1990s-their risk factors，stratification and survival in Canada：The Canadian Assessment of Myocardial Infarction(CAMI)study[J]．J Am Coll Cardiol,1996，27(5):11l9．

[3]Killip T，Kimball JT．Treatment of myocardial infarction in a coronsry unit. A two year experience with 250 patients[J]．Am J Cardiol，1967．20(4):457．

[4]Neskovic A，Otasevic P．Bojic M,et al．Association of Killip class on admission and left ventricular dilatation[J]．Am Heart J，1999,137(2):361．

[5]Gruppo Italiano per Io Studio della Streptochinasi nell infarto Mieardico．Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction[J]．Lancet,1987,2(8564)：871.

[6]Multicentear Postinfarction Research Group．Risk stratification and survival after myocardial irfarction [1J．N Engl J Med,1983,309(6):331．

备注/Memo

备注/Memo:
收稿日期：1999-10-21.
更新日期/Last Update: 2001-01-25