| 影响慢性阻塞性肺疾病急性呼吸衰竭患者预后相关因素研究 |
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| 引用本文： | 米玉红,刘双.影响慢性阻塞性肺疾病急性呼吸衰竭患者预后相关因素研究[J].中国综合临床,2008,24(8). |
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| 作者姓名： | 米玉红 刘双 |
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| 作者单位： | 首都医科大学附属北京安贞医院EICU,北京,100029 |
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| 摘 要： | 目的 探讨影响ICU中慢性阻塞性肺疾病(COPD)急性呼吸衰竭患者预后的相关因素.方法回顾性分析2005年5月至2007年5月因COPD急性加重39例患者的临床资料,分析不同预后患者各指标的差异.结果死亡组患者肺动脉压、肌酐、APACHE Ⅱ评分、APACHE一Ⅲ评分等升高(均P<0.05),ICU住院时间延长(P<0.05);呼吸频率和格拉斯哥昏迷评分下降(P<0.05).结论肺动脉压、肌酐、APACHEⅡ评分、APACHEⅢ评分、呼吸频率和GCS可以预测慢性阻塞性肺疾病急性呼吸衰竭患者的预后.
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| 关 键 词： | 慢性阻塞性肺疾病 急性呼吸衰竭 预后 |
Study of prognostic factors in patients with acute respiratory failure due to chronic obstructive pulmonary Disease |
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| MI Yu-hong,LIU Shuang.Study of prognostic factors in patients with acute respiratory failure due to chronic obstructive pulmonary Disease[J].Clinical Medicine of China,2008,24(8). |
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| Authors: | MI Yu-hong LIU Shuang |
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| Abstract: | Objective To explore the prognostic factors in patients with acute respiratory failure due to chronic obstructive pulmonary disease (COPD) in EICU. Method Clinical data of 39 patients admitted to EICU from May 2005 to May 2007 were retrospectivley analyzed. Results In death group, the pulmonary artery pressure (PAP) ,creatinine (Cr) ,APACHE-Ⅱ score, and APACHE-Ⅲ score were increased (P < 0. 05) and ICU stays were prolonged (P < 0.05) ; Respiratory rate (RR) and Glasgow coma score (GCS) were decreased (P < 0.05). Conclusion PAP, Cr, APACHE-Ⅱ score,APACHE-Ⅲ score,RR and GCS predict the prognosis of the patients with acute respiratory failure due to chronic obstructive pulmonary disease. |
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| Keywords: | Chronic obstructive pulmonary disease Acute respiratory failure Prognosis |
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