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肾功能不全对慢性充血性心衰预后的影响 被引量:3

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摘要 目的回顾性观察和分析肾功能不全对慢性充血性心衰住院患者预后的影响。方法收集我院2007年1月~2009年12月慢性心衰住院病例,共入选273例患者,根据血肌酐值将273例患者分为A(肾功能正常)、B(肾功能代偿期)、C(肾功能失代偿期)三组,分析临床特点及其预后影响因素等。结果分析273例患者,其中合并肾功能失代偿期者99例(36.3%)。与A、B组的患者相比,C组患者年龄较大,心功能较差,病死率高。慢性心衰患者住院期间的病死率在肾功能失代偿期的患者明显升高(P<0.01)。肾功能不全是增加慢性心衰住院患者病死率的重要危险因素。结论慢性心衰合并肾功能不全的发生率较高,住院时间长,住院病死率高,肾功能不全与心衰的预后密切相关,肾功能不全的心衰患者与肾功能正常者相比,其死亡率可增加40%~200%,肾功能不全是增加慢性心衰患者住院病死率的重要危险因素。
出处 《齐齐哈尔医学院学报》 2010年第16期2577-2578,共2页 Journal of Qiqihar Medical University
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共引文献371

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  • 9袁芳,刘素云,李拥军.早期肾功能不全与心血管疾病[J].临床荟萃,2009,24(22):2016-2018. 被引量:5
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