天津医药

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主动脉夹层的临床特征及死亡危险因素分析

刘皇军1,金立军2,周荣2,3   

  1. 1. 长江大学临床医学院
    2. 长江大学附属第一医院
    3.
  • 收稿日期:2011-04-14 修回日期:2011-07-20 出版日期:2012-01-15 发布日期:2012-01-15
  • 通讯作者: 金立军

Analysis of clinical characteristics and risk factors for death of aortic dissection

  • Received:2011-04-14 Revised:2011-07-20 Published:2012-01-15 Online:2012-01-15

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摘要： 目的 分析主动脉夹层的临床特征，探讨其死亡危险因素。方法 回顾性分析我院2006-2010年诊治的主动脉夹层病例，采用Logistic回归分析性别、年龄、相关临床特征与主动脉夹层的住院期间病死率的关系。 结果 住院期间总死亡率为17.5%，其中DeBakeyⅠ、Ⅱ、Ⅲ型住院期间死亡率分别为7/16（43.8%）、2/8（25.0%）、2/39（5.1%）；Logistic回归分析显示心包积液（P=0.001）是预测主动脉夹层的死亡危险因素。结论 心包积液是主动脉夹层的独立危险因素。

关键词: 主动脉夹层, 危险因素, 临床特征, 预后

Abstract: Objective Analysis of the clinical characteristics of aortic dissection and to discuss its risk factors for death. Methods Retrospective analysis of the aortic dissection cases in our hospital form 2006 to 2010, using Logistic regression analysis of the relationship between gender, age, relevant clinical characteristics and hospital mortality of aortic dissection. Results The total mortality was 17.5% during hospitalization, in-hospital mortality of DeBakey typeⅠ,Ⅱ,Ⅲ are 7/16（43.8%）,2/8（25.0%）, 2/39（5.1%）, respectively; Logistic regression analysis revealed that pericardial effusion (P=0.001) is a risk factor predicting the death of aortic dissection. Conclusion Pericardial effusion is a independent risk factor for aortic dissection.

Key words: Aortic dissection, Risk factor, clinical characteristics, prognosis