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目的分析急性心肌梗死合并急性胰腺炎患者的临床特点,探讨影响患者死亡的因素。方法共25例急性心肌梗死合并急性胰腺炎患者,分死亡和存活两组,比较在合并症、TNI、NT-pro BNP、脂肪酶、淀粉酶方面有无统计学差异。结果死亡组患者的TNI、BNP、脂肪酶水平明显高于存活组,有统计学意义(P分别为0.001、0.005、0.04);合并糖尿病和肾功能不全的患者死亡率明显高于无上述合并症者,差异有统计学意义(P分别为0.017、0.012);Logistic回归分析分析表明,与患者死亡独立相关的预测因子是TNI水平(P=0.022,OR=0.474)。结论急性心肌梗死合并急性胰腺炎患者中,TNI、BNP、脂肪酶的水平的增高与死亡密切相关,合并糖尿病、肾功能不全时死亡的风险高于无上述合并症者,与死亡独立相关的因素是TNI。
Objective To analyze the clinical features of patients with acute myocardial infarction complicated with acute pancreatitis and explore the factors that affect the death of patients. Methods A total of 25 patients with acute myocardial infarction complicated by acute pancreatitis were divided into two groups: death and survival. Comparisons were made between the two groups in complication, TNI, NT-pro BNP, lipase and amylase. Results The mortality of TNI, BNP and lipase in death group was significantly higher than that in survival group (P 0.001,0.005,0.04, respectively). The mortality of patients with diabetes mellitus and renal insufficiency was significantly higher than those without complications (P = 0.017, 0.012, respectively). Logistic regression analysis showed that the predictor of mortality was TNI level (P = 0.022, OR = 0.474). Conclusions The increase of TNI, BNP and lipase in patients with acute myocardial infarction complicated with acute pancreatitis is closely related to death. The risk of death in patients with diabetes mellitus and renal insufficiency is higher than those without these complications. The factors related to death independence Is TNI.