107例维持性血液透析患者死亡原因分析

发布时间：2018-04-04 16:27

本文选题：维持性血液透析　切入点：死亡原因　出处：《东南国防医药》2017年01期

【摘要】：目的分析行规律血液透析治疗患者的死亡原因及临床特点。方法收集解放军第174医院(厦门大学附属成功医院)血液净化中心2006年1月至2016年1月血液透析大于3个月的死亡患者共107例,根据年龄将其分为小于或等于60岁的青中年组及大于60岁的老年组,分析两组死亡患者临床资料及死亡原因。结果 107例死亡患者中,男75例,女32例,年龄22~91岁,平均年龄(62.55±15.31)岁。其中青中年组42例,男31例,女11例;老年组65例,男44例,女21例;两组患者在性别上差异有统计学意义(P0.01)。青中年组透龄明显长于老年组[(50.12±30.55)月vs(37.6±37.12)月],两组透龄差异有统计学意义(P0.01)。青中年组原发病以慢性肾小球肾炎为主,比例为57.14%,老年组以糖尿病性肾病居多,比例为43.08%。两组患者主要死亡原因有所不同,青中年组33.33%(14例)死于脑血管疾病,其中以脑出血(30.95%)居多。老年组死亡原因以心血管疾病、感染、脑血管疾病、猝死和营养不良-炎症-动脉粥样硬化综合征(malnutrition-inflammation-atherosclerosis syndrome,MIA Syndrome)为主。结论死亡原因在不同年龄组有所差异,青中年组患者脑血管疾病多见,老年组患者死亡原因不一,包括心脑血管疾病、感染、猝死和MIA综合征。
[Abstract]:Objective to analyze the causes of death and clinical characteristics of patients undergoing regular hemodialysis.Methods 107 patients died during hemodialysis more than 3 months from January 2006 to January 2016 in the Blood purification Center of the 174 Hospital (affiliated to Xiamen University).According to the age, the patients were divided into two groups: the young and middle aged group and the elderly group. The clinical data and the causes of death were analyzed in the two groups.Results there were 75 males and 32 females, aged 2291 years, with an average age of 62.55 卤15.31 years.There were 42 young and middle aged patients (31 males, 11 females), 65 elderly patients (44 males and 21 females). There was significant difference between the two groups in terms of sex (P 0.01).The permeation age of the young and middle-aged group was significantly longer than that of the old group [50.12 卤30.55 months vs(37.6 卤37.12 months], and the difference between the two groups was statistically significant (P 0.01).Chronic glomerulonephritis was the main primary disease in the young and middle age group (57.14%), and diabetic nephropathy was the most common disease in the elderly group (43.08%).The main causes of death in the two groups were different. In the young and middle age group, 33.33 and 14 patients died of cerebrovascular diseases, in which cerebral hemorrhage was the most common.The main causes of death in the elderly group were cardiovascular disease, infection, cerebrovascular disease, sudden death and malnutrition-inflammation-atherosclerosis syndrome.Conclusion the causes of death are different in different age groups. Cerebrovascular diseases are more common in young and middle aged patients. The causes of death in elderly patients are different, including cardio-cerebrovascular diseases, infection, sudden death and MIA syndrome.
【作者单位】：解放军第174医院(厦门大学附属成功医院)肾内科;
【基金】：厦门市科技计划项目(3502Z20154043)
【分类号】：R692.5

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