| 谈晓侠 姬润美 陈建玲 白文 吴洁.急诊慢性阻塞性肺疾病急性加重期患者预后相关因素分析[J].,2014,14(25):4940-4942 |
| 急诊慢性阻塞性肺疾病急性加重期患者预后相关因素分析 |
| Prognostic Factors Analysis of Acute Exacerbation Patients with EmergencyChronic Obstructive Pulmonary Disease |
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| DOI： |
| 中文关键词: 慢性阻塞性肺疾病 急性加重期 急诊 预后分析 |
| 英文关键词: Chronic obstructive pulmonary disease Acute exacerbation Emergency Prognostic analysis |
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| 中文摘要: |
| 目的：探讨急诊收治的慢性阻塞性肺疾病急性加重期患者的预后相关因素。方法：选取我院2008 年12 月-2013 年12 月急
诊收治的慢性阻塞性肺疾病急性加重期患者94 例，根据预后结果分为死亡组17 例及存活组77 例，回顾分析两组患者的相关资
料。结果：存活组较死亡组BMI、血肌酐值、清蛋白、pH值、PaCO2、FT3差异具有统计学意义。死亡组较存活组在APACHEⅡ，CCS，
有创通气率及合并肺心病率上差异均具有统计学意义。结果显示合并肺心病率、APACHEⅡ评分、肌酐、清蛋白为影响慢性阻塞
性肺疾病急性加重期患者预后的独立因素。结论：急诊收治的慢性阻塞性肺疾病急性加重期患者如合并肺心病率，APACHEⅡ评
分较高，血肌酐较高，清蛋白较低，这些因素提示我们患者预后较差，需及早进行相关治疗。 |
| 英文摘要: |
| Objective:To investigate the prognostic factors of chronic obstructive pulmonary disease in acute exacerbation in emergency
department.Methods:94 patients with the acute exacerbatin chronic obstructive pulmonary disease who were treated in our hospital
from Dec. 2008 to Dec. 2013 were selected. According to the prognostic results, the objectives were divided into the death group(17
cases) and the survived group (77 cases), then the related information of two groups were retrospectively analyzed.Results:Compared
with death group, the BMI, the serum creatinine values, the albumin, pH, PaCO2 and FT3 of patients in the survived group were significantly
different (P<0.05). The complications of pulmonary heart disease rate, APACHEⅡ score, creatinine and albumin were the independent
factors of acute exacerbation chronic obstructive pulmonary disease.Conclusion:The patients with the acute exacerbation chronic
obstructive pulmonary disease who were treated in the emergency department showed a high incidence of heart disease, APACHEⅡ
score and creatinine and low albumin. The risk factors prompt a poor prognosis for patients that should be treated early. |
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