内科住院期间死亡的41例支气管扩张患者临床特征分析  

Clinical characteristics of in-hospital death of 41 case of bronchiectasis

作　　者：王彰晖[1] 瞿跃进[1] Wang Zhanghui;Qu Yuejin(Department of Respiratory Medicine,the First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院呼吸内科,361003

出　　处：《中国实用医刊》2018年第23期44-48,共5页Chinese Journal of Practical Medicine

摘　　要：目的分析内科住院期间死亡的41例支气管扩张患者的临床特征。方法回顾性分析2009年1月至2018年3月在厦门大学附属第一医院内科住院期间死亡的41例支气管扩张患者末次住院的临床资料。结果41例患者均有呼吸道感染,39例患者行血气分析检查,其中呼吸衰竭37例。直接死于呼吸道感染和呼吸衰竭31例(75.6%),死于呼吸道感染和感染继发的其他脏器功能异常7例(17.1%)。合并心力衰竭20例(48.8%),39例查心电图发现异常34例。87.8%的患者支气管扩张严重度指数(BSI)评分为重度,58.5%的患者肺功能及支气管扩张症严重程度(FACED)评分为重度。结论呼吸道感染、呼吸衰竭是支气管扩张住院死亡的常见原因。心力衰竭和心电图异常常见,BSI评分和FACED评分可用于评估死亡风险。Objective To analyze the clinical characteristics of 41 patients with bronchiectasis who died during hospitalization.Methods The clinical,microbiological,radiology and electrocardiogram (ECG)data of 41 bronchiectasis patients who died in Department of Medicine in the First Affiliated Hospital of Xiamen University form January 2009to March 2018 were retrospectively analyzed. Results Forty-one patients had respiratory infection.Blood gas analysis was performed on 39 patients,of which 37 cases had respiratory failure.The causes of deaths were respiratory infection and respiratory failure in 31patients (75.6%),respiratory infection and other organ dysfunctions resulting from infection in 7 patients (17.1%).Twenty patients (48.8%)had heart failure;39 patients checked electrocardiogram (ECG),with abnormal ECG in 34 cases.87.8% patients were BSI severe,while 58.5% patients were FACED severe.Conclusions The main causes of deaths of bronchiectasis are respiratory infection and respiratory failure.Heart failure and abnormal ECG are common.BSI and FACED could be used to assess mortality risk of bronchiectasis patients in inteeral departments.

关 键 词：临床分析 支气管扩张 住院 死亡 

分 类 号：R562.22[医药卫生—呼吸系统]