陈文韬, 杜 坤, 曹 磊, 秦 牧. 慢性心力衰竭患者住院死亡的相关因素[J]. 心脏杂志, 2013, 25(6): 675-676.
    引用本文: 陈文韬, 杜 坤, 曹 磊, 秦 牧. 慢性心力衰竭患者住院死亡的相关因素[J]. 心脏杂志, 2013, 25(6): 675-676.
    Analysis of clinical characteristics in patients who died due to inhospital chronic heart failure[J]. Chinese Heart Journal, 2013, 25(6): 675-676.
    Citation: Analysis of clinical characteristics in patients who died due to inhospital chronic heart failure[J]. Chinese Heart Journal, 2013, 25(6): 675-676.

    慢性心力衰竭患者住院死亡的相关因素

    Analysis of clinical characteristics in patients who died due to inhospital chronic heart failure

    • 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.

       

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