严重充血性心力衰竭引起胸腔积液相关因素分析  

Analysis on related factors of pleural effusion caused by severe congestive heart failure

作　　者：田时静 王熙宇[1] 周发春[1] 

机构地区：[1]重庆医科大学附属第一医院重症医学科,400016

出　　处：《重庆医学》2018年第1期52-53,56,共3页Chongqing medicine

摘　　要：目的了解严重充血性心力衰竭引起胸腔积液相关影响因素,为临床诊疗提供思路。方法选取2015年1-6月该院心内科收治的严重充血性心力衰竭患者300例,记录性别、年龄、心力衰竭程度、胸腔积液、心脏病类型、糖尿病、心房纤颤、心脏彩超、B型脑钠肽前体、白细胞、中性粒细胞百分比、血红蛋白、尿素氮、血清白蛋白、住院时间,对资料进行统计学分析。结果严重充血性心力衰竭所致胸腔积液与非胸腔积液患者性别、心力衰竭程度、射血分数、B型脑钠肽前体、中性粒细胞百分比、血清白蛋白差异有统计学意义(P<0.05),左房舒张末径、左室舒张末径、左房舒张末径/左室舒张末径、白细胞、血红蛋白、尿素氮、心脏病类型、糖尿病、心房纤颤、住院时间差异无统计学意义(P>0.05)。结论严重充血性心力衰竭致胸腔积液与性别、心力衰竭程度、低蛋白血症、中性粒细胞百分比有相关性。Objective To understand the related influencing factors of pleural effusion caused by severe congestive heart fail- ure to provide an idea for clinical diagnosis and treatment. Methods Three hundreds patients with severe congestive heart failure admitted to the cardiology department of this hospital from January to June 2015 were selected. The sex, age, heart failure degree, pleural effusion, type of heart disease, diabetes mellitus, atrial fibrillation, B-type pro-brain natriuretic peptide, white blood cell, neu- trophil percentage, hemoglobin,blood urea nitrogen, serum albumin and hospital stay were recorded and performed the statistical a- nalysis. Results The sex,heart failure degree,ejection fraction,B-type pro-brain natriuretic peptide,neutrophil percentage and serum albumin had statistical differences between the patients with pleural effusion caused by severe congestive heart failure and pa- tients without pleural effusion（P〈0. 05）. The left atrial diastolic diameter/left ventricular end-diastolic diameter,white blood cell, hemoglobin, blood urea nitrogen, type of heart disease, diabetes, atrial fibrillation and hospitalization stay had no statistically signifi- cant differences（P〉0.05）. Conclusion Pleural effusion caused by severe congestive heart failure has the correlation with the sex, heart failure degree,hypoproteinemia and neutrophil percentage.

关 键 词：心力衰竭 充血性 胸腔积液 危险因素 

分 类 号：R446.1[医药卫生—诊断学]