摘要
目的:探讨老年心力衰竭合并谵妄患者的临床特征。方法:回顾性分析18例老年心力衰竭合并谵妄患者的临床资料。结果:心功能分级:NYHAⅢ级10例,Ⅳ级8例;临床分型:活动抑制型7例,活动亢进型5例,混合型6例;合并症:肺部感染14例,低氧血症16例,电解质紊乱12例,贫血9例,恶病质8例,肾功能不全8例;转归:完全缓解4例,不完全缓解6例,死亡8例。结论:老年心力衰竭合并谵妄多出现在终末期心衰患者,提示病情较重或有严重合并症的存在,病死率高,应及早采取积极防治措施。
Objective： discuss the clinical characteristics of aged patients with heart failure and delirium.Methods： Retrospective analysis was carried out on the clinical data of 18 aged patients with heart failure and delirium in our hospital.Results：10 patients with CHF of NYHA Ⅲ and 8 patients with CHF of NYHA Ⅳ.7 patients with immobilization,5 patients with hyperactivity,6 patients were mixed.14 patients with pulmonary infection,16 patients with hypoxic,12 patients with disturbance of electrolyte,9 patients with anemia,8 patients with dyscrasia,8 patients with renal inadequacy.4 patients were complete remission,6 patients were incomplete remission,6 patients were death.Conclusion： the aged patients with heart failure and delirium commonly con-sisting in the patients with final phase heart failure,indicating the severity disease or complication,and higher mortalily rate,should adopt effective treatment early.
出处
《安徽卫生职业技术学院学报》
2011年第4期20-21,共2页
Journal of Anhui Health Vocational & Technical College
关键词
心力衰竭
谵妄
合并症
heart failure
delirium
complication
