患有心脏性单侧肺的患者的患病率,特征和结局
David Attias1, Nicolas Mansencal, Bertran Auvert
1Department of Cardiology, Université de Versailles-Saint Quentin, Ambroise Paré Hospital, Assistance Publique-Hôpitaux de Paris, Boulogne, France. david.attias@apr.aphp.fr
Circulation
|September 1, 2010
概括
心脏性单侧肺 (UPE) 是罕见的,但显著增加死亡风险. 及时识别和治疗对于改善这种疾病患者的治疗结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 关键护理医学 关键护理医学
背景情况:
- 心脏性单侧肺 (UPE) 是一种不常见的疾病,经常被误诊.
- 了解其患病率和预后影响对于临床管理至关重要.
研究的目的:
- 为了确定心脏性肺水腫患者中UPE的患病率.
- 为了比较UPE的临床特征和结果与双边肺.
- 确定与UPE死亡率相关的因素.
主要方法:
- 在8年的时间里,对869名连续患有心脏性肺的患者进行了回顾性分析.
- 在UPE和双边肺瘤组之间比较人口统计,临床和治疗数据.
- 多变量分析评估UPE对住院死亡率的独立影响.
主要成果:
- UPE的患病率为2.1%,主要是右侧 (89%).
- UPE患者表现出较低的血压,更高的通风率和catecholamine使用率,以及普遍严重的腹.
- 与双边肺水腫 (8%) 相比,UPE的住院死亡率明显高 (39%).
结论:
- UPE是一种罕见但独特的实体在心脏性肺,经常呈现为右侧不透明和严重的腹.
- UPE独立地与大幅增加的死亡风险有关.
- 早期识别和及时治疗UPE对于改善患者预后至关重要.
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