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|本期目录/Table of Contents|

慢性心力衰竭患者住院死亡的相关因素

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第6期
页码:
675-676684
栏目:
临床研究
出版日期:
2013-11-25

文章信息/Info

Title:
Analysis of clinical characteristics in patients who died due to inhospital chronic heart failure
作者:
陈文韬1; 杜 坤1; 曹 磊1; 秦 牧2
(1.鄂州市中心医院心内科，湖北 鄂州 436000；2.宜昌市中心医院心内科，湖北 宜昌 443000)
Author(s):
CHEN Wen tao1;  DU Kun1;  CAO Lei1;  QIN Mu2
(1.Department of Cardiology, Central Hospital of Ezhou City, Ezhou 436000, Hubei, China; 2.Department of Cardiology, Central Hospital of Yichang City, Yichang 443000, Hubei, China)
关键词:
心力衰竭; 慢性; 房颤; 高血压; 原发性; 高血脂症
Keywords:
chronic heart failure;  atrial fibrilliation;  hypertension;  primary hyperlipemia
分类号:
R541.61
DOI:
-
文献标识码:
A
摘要:
目的:分析慢性心力衰竭（CHF）住院患者的临床特征及影响患者疾病转归的因素。方法:回顾性分析1 472例住院CHF患者临床资料，根据住院期间的疾病转归情况，分为存活组（1 341例）和死亡组（131例）。对比分析两组患者的临床资料。结果: ①纳入研究的CHF病例总病死率为8.9%(131/1 472)。CHF住院死亡组患者的年龄，血压水平，血脂水平，血糖水平，心腔内径，射血份数与存活组患者之间存在明显差异（均P<0.05)。②住院期间死亡组患者有更高的并发症和诱因发生率。两组患者并发多种诱因的情况都比并发一种诱因的情况更为多见，在死亡组并发诱因种类越多所占死亡比重越大。结论:CHF患者年老，未经控制的高血压病，糖尿病，高血脂症者有更高的病死率；并发诱因种类愈多，愈增加患者死亡几率。
Abstract:
AIM:To explore the clinical characteristics in patients who died due to inhospital chronic heart failure (HF). METHODS: Clinical data of 1 472 patients with chronic HF were retrospectively analyzed. The patients were divided into two groups: 131 cases for the inhospital group who died and 1 341 cases in the survival group. Clinical data of the two groups were analyzed and compared. RESULTS: Total mortality in the 1 472 patients with chronic HF was 89% (131/1 472). Age, blood sugar, blood pressure, cholesterol, heart cavity diameter and ejection fraction in the inhospital group of patients who died were significantly higher than those in the survival group. The complication rate and multiple risk factors were also higher in the inhospital patient group who died. CONCLUSION: Advanced age, hypertension, hyperglycemia and hyperlipemia all increase the mortality of patients with chronic HF. Higher risk factors represent higher mortality rate in chronic HF patients.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2013-05-30.作者简介：陈文韬，主治医师，硕士Email:cwtlovelife@163.com
更新日期/Last Update: 2013-11-20