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目的:探讨急诊收治的慢性阻塞性肺疾病急性加重期患者的预后相关因素。方法:选取我院2008年12月-2013年12月急诊收治的慢性阻塞性肺疾病急性加重期患者94例,根据预后结果分为死亡组17例及存活组77例,回顾分析两组患者的相关资料。结果:存活组较死亡组BMI、血肌酐值、清蛋白、pH值、PaCO2、FT3差异具有统计学意义。死亡组较存活组在APACHEⅡ,CCS,有创通气率及合并肺心病率上差异均具有统计学意义。结果显示合并肺心病率、APACHEⅡ评分、肌酐、清蛋白为影响慢性阻塞性肺疾病急性加重期患者预后的独立因素。结论:急诊收治的慢性阻塞性肺疾病急性加重期患者如合并肺心病率,APACHEⅡ评分较高,血肌酐较高,清蛋白较低,这些因素提示我们患者预后较差,需及早进行相关治疗。
Objective: To investigate the prognostic factors in patients with acute exacerbation of chronic obstructive pulmonary disease admitted to the emergency department. Methods: Ninety-four patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) admitted from December 2008 to December 2013 in our hospital were divided into seven groups according to their prognosis: death group (n = 17) and survival group (n = 77) Relevant information. Results: The difference of BMI, serum creatinine, albumin, pH value, PaCO2 and FT3 in survival group was statistically significant. There were significant differences in APACHEⅡ, CCS, invasive ventilation rate and pulmonary heart disease rate between death group and survival group. The results showed that the combined pulmonary heart disease rate, APACHE Ⅱ score, creatinine, albumin were independent prognostic factors in patients with acute exacerbation of chronic obstructive pulmonary disease. Conclusion: Emergency treatment of patients with acute exacerbation of chronic obstructive pulmonary disease such as pulmonary heart disease combined with higher APACHE Ⅱ score, higher serum creatinine, lower albumin, these factors suggest that our patients with poor prognosis, the need for early treatment.