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急性脑血管病机械通气患者院内病死的危险因素分析

刘正东

刘正东. 急性脑血管病机械通气患者院内病死的危险因素分析[J]. 蚌埠医科大学学报, 2013, 37(8): 959-961.
引用本文: 刘正东. 急性脑血管病机械通气患者院内病死的危险因素分析[J]. 蚌埠医科大学学报, 2013, 37(8): 959-961.
LIU Zheng-dong. Analysis of risk factors of death with acute cerebrovascular disease treated with mechanical ventilation[J]. Journal of Bengbu Medical University, 2013, 37(8): 959-961.
Citation: LIU Zheng-dong. Analysis of risk factors of death with acute cerebrovascular disease treated with mechanical ventilation[J]. Journal of Bengbu Medical University, 2013, 37(8): 959-961.

急性脑血管病机械通气患者院内病死的危险因素分析

详细信息
    作者简介:

    刘正东(1966-),男,副主任医师.

Analysis of risk factors of death with acute cerebrovascular disease treated with mechanical ventilation

  • 摘要: 目的:分析急性脑血管病机械通气患者出现院内病死的危险因素。方法:选择机械通气治疗的81例急性脑血管病患者,根据是否发生院内病死将其分为生存组与病死组,将2组的临床资料进行统计分析处理。结果:病死组部分凝血活酶时间、血糖水平、慢性健康评分、气管切开、肺内感染、幕下病变、出血性病变、总住院时间、ICU住院时间、机械通气时间等与生存组差异均有统计学意义(P0. 05~P0. 01),而机械通气时间、血糖水平、幕下病变、肺内感染为病死的独立危险因素,ICU住院时间则为其保护因素(P0. 05~P0. 01)。结论:对机械通气时间较长、血糖水平较高、有幕下病变和肺内感染的患者需密切监测,并予对应的治疗,从而降低患者临床病死率,改善患者预后。
    Abstract: Objective: To analyse the risk factors of deaths with acute cerebrovascular disease treated with mechanical ventilation. Methods: Eight-one patients with acute cerebrovascular disease treated with mechanical ventilation were divided into survival group and death group according to the hospital death. The clinical data of all patients were statistically analysed. Results: The differences of activated partial thromboplastin time,blood glucose, chronic health evaluation, incision of trachea, lung infection, infratentorial lesions,hemorrhage injury,hospitalization time,ICU length of stay and mechanical ventilation time between two groups were statistical significance( P < 0. 05 - P < 0. 01) . The duration of mechanical ventilation,blood glucose, infratentorial lesions, lung infection were independent risk factors of death,hospitalization time was protective factors of death( P < 0. 05 - P < 0. 01) . Conclusions: The patients with long mechanical ventilation time,high blood sugar, infratentorial lesions and lung infection should be closely monitored and treated correspondingly,which can reduce the mortality rate of patients and improve patients prognosis.
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出版历程
  • 收稿日期:  2013-02-05
  • 刊出日期:  2013-08-14

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