急性心肌梗死合并急性胰腺炎25例临床分析  

Clinical Analysis of 25 Cases of Acute Myocardial Infarction with Acute Pancreatitis

作　　者：翟英慧[1] 李海涛[1] 郝咏刚[2] 

机构地区：[1]北京市普仁医院心内科,北京市100062 [2]首都医科大学附属北京朝阳医院神经内科,北京市100020

出　　处：《中国病案》2015年第5期95-96,共2页Chinese Medical Record

摘　　要：目的分析急性心肌梗死合并急性胰腺炎患者的临床特点,探讨影响患者死亡的因素。方法共25例急性心肌梗死合并急性胰腺炎患者,分死亡和存活两组,比较在合并症、TNI、NT-pro BNP、脂肪酶、淀粉酶方面有无统计学差异。结果死亡组患者的TNI、BNP、脂肪酶水平明显高于存活组,有统计学意义(P分别为0.001、0.005、0.04);合并糖尿病和肾功能不全的患者死亡率明显高于无上述合并症者,差异有统计学意义(P分别为0.017、0.012);Logistic回归分析分析表明,与患者死亡独立相关的预测因子是TNI水平(P=0.022,OR=0.474)。结论急性心肌梗死合并急性胰腺炎患者中,TNI、BNP、脂肪酶的水平的增高与死亡密切相关,合并糖尿病、肾功能不全时死亡的风险高于无上述合并症者,与死亡独立相关的因素是TNI。Objectives To analyze the clinical characteristics of the patients with acute myocardial infarction complicated with acute pancreatitis, and explore the influencial factors of death patients. Methods A total of 25 cases of acute myocardial infarction complicated with acute pancreatitis were divided into two groups, death and survival, compared with complications, TNI, NT-proBNP, lipase and amylase. Results The TNI, BNP, lipase levels were significantly increased in death group compared With those in survival group with statistical significance （P=-0. 001, 0. 005, 0. 04） ; The mortality in death group is significantly higher than the survival group with the complications of diabetes mellitus and renal dysfunction with statistical significance （P=0. 017, 0. 012）; The independent predictors of death is TNI （ P=-0. 022, OR=0. 474 ） . Conclusions In patients with acute myocardial infarction complicated with acute pancreatitis, TNI, BNP and lipase levels were the risk factors associated with death, renal function and diabetes increased the death risk, the independent factor associated with death is TNI.

关 键 词：急性心肌梗死 急性胰腺炎 肌钙蛋白I 

分 类 号：R542.22[医药卫生—心血管疾病]