慢性肾功能衰竭合并急性心肌梗死27例分析  

Analysis on 27 cases of chronic renal dysfunction patients with acute myocardial infarction

作　　者：林茴[1] 袁丽萍[1] 郭佳华[1] 邝碧娟[1] 李珍[1] 

机构地区：[1]广东医学院附属福田医院心内科,广东深圳518000

出　　处：《临床和实验医学杂志》2008年第6期23-23,25,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的分析慢性肾功能衰竭合并急性心肌梗死的临床特征,探讨临床指标对其预后的影响。方法对27例慢性肾功能衰竭合并急性心肌梗死患者的临床及实验室指标进行回顾性分析。结果比较病情恶化组与病情改善组的年龄、肌酐值和心肌酶值,发现病情恶化组均较病情改善年龄、心肌酶和血清肌肝组明显升高(P<0.01),而病情恶化组的血红蛋白值则明显降低(P<0.01)。结论慢性肾功能衰竭合并心肌梗死病因以糖尿病肾病居多,年龄、肾功能与预后密切相关,血红蛋白(Hb)浓度低及心肌酶升高提示预后不良。Objective To investigate the clinical features of renal dysfunction complicate with acute myocardial infarction（AMI）. Methods 27 cases of renal dysfunction patients complicate with AMI were retrospectively analyed. Results Compare the condition worsened group with the condition improved group by their age,serum creatinine level,myocardial enzyme level,we found the condition worsened group were higher than the condition improved group （ P 〈 0.01 ）, and hemoglobim level of the condition worsened group reduced（ P 〈 0.01 ）. Conclusion Most of thd etiology are diabetic nephropathy, the prognosis is associated with age and renal function, reduced hemoglohim level and increased myocardial enzyme level suggest that the prognosis is worse.

关 键 词：慢性肾功能衰竭 急性心肌梗死 临床指标 预后 

分 类 号：R692.5[医药卫生—泌尿科学] R542.22[医药卫生—外科学]