摘要
目的了解老年心包积液患者随年龄增大其病因构成的变化情况.方法450例确诊为心包积液的住院患者按年龄分为非老年(0～59岁)组,老年(60～79岁)组和高龄老年(80岁以上)组,建立心包积液住院患者临床资料数据库,对比分析各组的病因构成.结果随着年龄的增大,心包积液病因构成也发生着变化.所有患者前6位的基础病因为肿瘤(22.22%)、结核(19.11%)、心力衰竭(16.44%)、肾功能不全(8.22%)、非特异性心包炎(8%)和心脏术后并发症(7.78%),老年组是肿瘤(23.5%)、心力衰竭(19.13%)、结核(14.75%)、非特异性心包炎(11.48%)、肺部感染(8.74%)和肾功能不全(6.01%),高龄老年组心包积液病因构成相对集中,前4位的病因是心力衰竭(34.62%)、肺部感染(19.23%)、肿瘤(15.38%)、肾功能衰竭(15.38%).结论心包积液的病因随患者年龄老化,肿瘤、心力衰竭、肺部感染比例呈逐步上升趋势,结核则呈下降走势.在高龄老人,心肺功能异常导致心包积液已经接近一半.
Objective To analyze and survey the etiology of pericardial effusion in the elderly inpatients. Method The data of 450 patients who were diagnosed as pericardial effusion in General Hospital of PLA were studied retrospectively. The pathogenesis of pericardial effusion was analyzed and compared among the three age groups： non-senile group （0 - 59 yrs） ,old group （60 - 79 yrs） and very old group （ 〉180 yrs）. Results The pathogenesis of pericardial effusion was distinctive in different age groups. The first six causative factors were neoplasia, tuberculosis, heart failure, renal insufficiency, nonspecific pericarditis, and post-cardiac operation in all patients; neoplasia, heart failure, tuberculosis, nonspecific pericarditis, lung infection and renal insufficiency in old group. The etiology composing in very old group trended to convergence. The first four factors were heart failure, lung infection, neoplasia and renal insufficiency. Conclusion The etiology of pericardial effusion varies with the aging. The rate of neoplasia, heart failure, lung infection increases along with aging, meanwhile the rate of tuberculosis declines. In very old patients, the pericardial effusions caused by cardiopulmonary insufficiency are close to half of all very old patients. Attention should be paid to these characteristics in elderly patients with pericardial effusions during the diagnosis and treatment.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2005年第6期385-387,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
心包积液
年龄因素
数据收集
perlcardial effusion
age factors
data collection
