本文選題：急性心肌梗死 + 高血鉀癥�。� 參考：《臨床心血管病雜志》2017年02期

【摘要】：目的:探討高鉀血癥的發(fā)病率以及高鉀血癥與急性心肌梗死(AMI)患者預(yù)后之間的關(guān)系。方法:回顧性分析我院心內(nèi)科196例AMI住院患者的資料,評(píng)價(jià)其住院期間血鉀水平與院內(nèi)病死率之間的關(guān)系以及糾正血鉀異常是否有利于AMI患者的預(yù)后。根據(jù)血鉀水平分組,將所有患者分為5.0mmol/L、5.0~5.5mmol/L,5.5~6.0mmol/L,≥6.0mmol/L 4組,分別分析其院內(nèi)病死率。結(jié)果:196例AMI患者中高鉀血癥發(fā)病率為22.4%,中、重度高鉀血癥發(fā)病率為8.2%。高鉀血癥患者住院6~12d,平均7.5d;非高鉀血癥患者住院4.0~7.0d,平均5.0d。與非高鉀血癥患者相比,高鉀血癥患者院內(nèi)病死率較高[優(yōu)勢比(OR)=6.57,95%可信區(qū)間(CI):2.37~18.24,P0.01]。未糾正血鉀異常增加AMI患者院內(nèi)病死率(OR=4.67,95%CI:1.10~19.85,P0.01)。多元回歸分析顯示,急性腎損傷是導(dǎo)致高鉀血癥的高風(fēng)險(xiǎn)因素。結(jié)論:AMI患者中高鉀血癥較常見,隨著血鉀水平升高,院內(nèi)病死率也逐漸增高。臨床上積極處理高鉀血癥可能有利于改善AMI患者的預(yù)后。
[Abstract]:Objective: to investigate the incidence of hyperkalemia and the relationship between hyperkalemia and prognosis in patients with acute myocardial infarction (AMI). Methods: the data of 196 inpatients with AMI in cardiology department were analyzed retrospectively to evaluate the relationship between serum potassium level and hospital mortality during hospitalization and whether correcting abnormal blood potassium was beneficial to the prognosis of AMI patients. According to the serum potassium level, all the patients were divided into 5. 0 mmol / L + 5. 5 鹵6. 0 mmol / L group and 鈮，

本文編號(hào)：1878018