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本文着重就30年中2038例内科心衰病人的病因构成比变化,治疗发展对心衰转归的影响等进行了分析。结果表明,近十年来住院心衰病人的年龄趋于增大,病因构成比发生了明显的变化,心肌疾患已上升为第二大病因。2038例中275例死亡,住院病死率13.49％,多因素逐步回归分析比较表明,毛地黄不规则性给药,排钾性利尿剂的大量使用,入院时的心衰程度均和死亡呈正相关,而与毛地黄的维持量法给药呈负相关。
This article focuses on 2038 cases of medical heart failure in 30 years, the cause of constitutional changes in the ratio, the impact of treatment development on the outcome of heart failure were analyzed. The results showed that in the past ten years, the age of hospitalized patients with heart failure tends to increase, the cause of constitutional ratio has changed significantly, and myocardial disease has risen to the second largest cause. 275 cases died and the in-hospital mortality rate was 13.49% in 2038 cases. The multivariate stepwise regression analysis showed that irregular administration of digitalis and excessive use of potassium-releasing diuretics and heart failure on admission were positively correlated with death, However, it was negatively correlated with the administration of maintenance dose of foxglove.