高钾血症对急性心肌梗死患者预后的影响

发布时间：2018-05-12 09:13

  本文选题：急性心肌梗死 + 高血钾症　； 参考：《临床心血管病杂志》2017年02期

【摘要】：目的:探讨高钾血症的发病率以及高钾血症与急性心肌梗死(AMI)患者预后之间的关系。方法:回顾性分析我院心内科196例AMI住院患者的资料,评价其住院期间血钾水平与院内病死率之间的关系以及纠正血钾异常是否有利于AMI患者的预后。根据血钾水平分组,将所有患者分为5.0mmol/L、5.0~5.5mmol/L,5.5~6.0mmol/L,≥6.0mmol/L 4组,分别分析其院内病死率。结果:196例AMI患者中高钾血症发病率为22.4%,中、重度高钾血症发病率为8.2%。高钾血症患者住院6~12d,平均7.5d;非高钾血症患者住院4.0~7.0d,平均5.0d。与非高钾血症患者相比,高钾血症患者院内病死率较高[优势比(OR)=6.57,95%可信区间(CI):2.37~18.24,P0.01]。未纠正血钾异常增加AMI患者院内病死率(OR=4.67,95%CI:1.10~19.85,P0.01)。多元回归分析显示,急性肾损伤是导致高钾血症的高风险因素。结论:AMI患者中高钾血症较常见,随着血钾水平升高,院内病死率也逐渐增高。临床上积极处理高钾血症可能有利于改善AMI患者的预后。
[Abstract]:Objective: to investigate the incidence of hyperkalemia and the relationship between hyperkalemia and prognosis in patients with acute myocardial infarction (AMI). Methods: the data of 196 inpatients with AMI in cardiology department were analyzed retrospectively to evaluate the relationship between serum potassium level and hospital mortality during hospitalization and whether correcting abnormal blood potassium was beneficial to the prognosis of AMI patients. According to the serum potassium level, all the patients were divided into 5. 0 mmol / L + 5. 5 卤6. 0 mmol / L group and 鈮，

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