小儿毛细支气管炎并发心力衰竭的危险因素分析  

Risk factors of capillary bronchitis with cardiac failure in children

作　　者：杨希晨[1] 华亚军[1] 潘伟[1] 刘桂华[1] 

机构地区：[1]东南大学医学院附属江阴市人民医院儿科,江苏江阴214400

出　　处：《临床肺科杂志》2011年第7期1011-1012,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的对毛细支气管炎合并心力衰竭的患儿进行研究,探讨毛细支气管炎发生心衰的危险因素,指导早期干预。方法收集毛细支气管炎75例,其中单纯毛细支气管炎42例,毛细支气管炎合并心衰33例,对患儿发病72 h内的实验室及临床情况进行分析,研究毛细支气管炎合并心衰的独立危险因素。结果存在反复呼吸道感染、基础心脏疾病、贫血、心肌损害的毛支患儿更易发生心力衰竭,并且心肌钙蛋白水平升高、基础心脏疾病是毛支患儿合并心力衰竭的独立危险因素。结论心肌损害及先天心脏疾病是毛细支气管炎患儿发生心力衰竭的危险因素,对此类毛支患儿应及早给予心肺支持治疗,以降低死亡率,改善预后。Objective To investigate the risk factors of capillary bronchitis with cardiac failure in children.Methods Data of 75 children with capillary bronchitis hospitalized in our hospital from January 2009 to July 2010 were collected.They were divided into cardiac failure group（n=33） and common group（n=42）.Chi-square and SPSS software used to analyze the datas,and the multiple regression analysis was used to find the independent positive factors that could predict the cardiac failure in children with capillary bronchitis.Results The incidence rate were higher in the group that suffer from recurrent respiratory tract infection,anemia,elevated serum cTnI and congenital heart disease.Multiple regression analysis revealed the elevated serum cTnI and congenital heart disease were the independent positive factors for cardiac failure in capillary bronchitis children.Conclusion Elevated serum cTnI and congenital heart disease were the independent positive factors,and could guide the intervention in the earlier period.

关 键 词：毛细支气管炎 心力衰竭 危险因素 

分 类 号：R725.6[医药卫生—儿科]