摘要
目的 研究主动脉夹层（AD）患者院内死亡的相关因素.方法 收集2007-10～2010-09我院收治的105例主动脉夹层患者的住院病历资料,对部分相关因素进行单因素及多因素Logistic回归分析.结果 105例主动脉夹层患者,死亡12例（病死率11.4%）;单因素分析得到心包填塞等五个因素有统计学意义（P〈0.1）;多因素分析得到心包填塞（P=0.007,OR=7.715）、意识障碍（P=0.010,OR=8.861）为患者院内死亡的独立危险因素,手术或介入治疗为保护因素（P=0.049,OR=0.095）.结论 伴有心包填塞、意识障碍的主动脉夹层患者病死率高,需高度注视,在内科治疗基础上适时采取手术或介入治疗有利于降低主动脉夹层患者的病死率.
Objective To investigate the related risk factors for the in - hospital death of aortic dissection. Methods Clinical data were collected from 105 hospitalized patients admitted to hospital from Oct. 2007 to Sep. 2010, the related factors for the death after the onset of aortic dissection were statistically analyzed by univariate and multivariate binary Logistic regression. Results 12 patients died in 105 cases （mortality 11. 4% ）. 5 factors such as cardiac tamponade had significant statistical differences （ P 〈0. 1 ） by univariate analysis, in which cardiac tamponade（ P = 0.007, OR = 7.715 ） , consciousness disorder （P = 0. 010, OR = 8. 861 ） were the independent risk factors, operation or interventional treatment （ P = 0. 049, OR = 0. 095 ） was the protective factors proved by multivariate binary Logistic regression analysis. Conclusion More attention should be paid to the patients with cardiac tamponade or consciousness disorder which have high mortality. Elective operation or interventional treatment in the right time could reduce the mortality of aortic dissection.
出处
《中国急救医学》
CAS
CSCD
北大核心
2011年第3期210-212,共3页
Chinese Journal of Critical Care Medicine
