[1]李志强,吴正霞,陈 凯,等.心力衰竭患者并发甲型流感的临床和实验室特征分析[J].现代检验医学杂志,2021,36(03):137-140.[doi:10.3969/j.issn.1671-7414.2021.03.031]
 LI Zhi-qianga,WU Zheng-xiaa,CHEN Kaia,et al.Analysis on the Clinical and Laboratory Characteristics of Heart FailurePatients with Influenza A[J].Journal of Modern Laboratory Medicine,2021,36(03):137-140.[doi:10.3969/j.issn.1671-7414.2021.03.031]
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心力衰竭患者并发甲型流感的临床和实验室特征分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第36卷
期数:
2021年03期
页码:
137-140
栏目:
检验与临床
出版日期:
2021-05-31

文章信息/Info

Title:
Analysis on the Clinical and Laboratory Characteristics of Heart FailurePatients with Influenza A
文章编号:
1671-7414(2021)03-137-04
作者:
李志强吴正霞陈 凯
(宝鸡市中心医院 a. 呼吸与危重症医学科;b. 心内科,陕西宝鸡 721008)
Author(s):
LI Zhi-qianga WU Zheng-xiaaCHEN KaiaTIE Yi-fanaLIU RuiaLIU Jin-liaLI Ya-jieb
(a.Department of Respiratory and Critical Care Medicine;b.Department of Cardiology,Baoji Central Hospital,Shaanxi Baoji 721008,China)
关键词:
流行性感冒心力衰竭临床和实验室特征HLA-DR/CD14
分类号:
R541.6;R373.13;R446
DOI:
10.3969/j.issn.1671-7414.2021.03.031
文献标志码:
A
摘要:
目的 比较心力衰竭患者和非心力衰竭患者并发甲型流感的实验室检查和临床特征性差异。方法 选择 2018年 10 月 ~2020 年 5 月收治的心血管系统疾病(高血压除外)并发甲型流感患者 57 例分为心力衰竭组(n=22)和非心力衰竭组(n=35),比较两组患者的年龄、性别、最高体温、发热天数、住院天数、是否并发肺炎以及二者入院时各生化指标的差异。结果 心力衰竭组与非心力衰竭组比较,年龄偏高(69.77±10.83 岁 vs 54.17±16.31 岁),降钙素原(procalcitonin, PCT)(3.96±1.91ng/ml vs 0.69±0.36ng/ml)、C 反应蛋白(C-reactive protein,CRP)(95.38±88.15mg/L vs 57.56±51.17mg/L)、总胆红素 [19.8(10.8,25.6)μmol/L vs 10.9(8.5,15.9)μmol/L]、肌酐(88.24±67.88μmol/L vs 75.65±23.41μmol/L)和尿素氮(6.95±5.78mmol/L vs 4.44±2.19mmol/L)水平更高,住院时间长(11.29±5.88 天vs 9.40±4.60 天),APACHE- Ⅱ评分高(14.13±1.84 vs 7.92±4.38),二者差异均有统计学意义(t=3.964,2.125,2.295,χ2=-2.282,t=-2.089,-2.321,2.497,2.246,均 P < 0.05)。结论 心力衰竭患者并发甲型流感后易并发肺炎及脓毒症,可造成肝肾功能损伤,病情严重,同时住院时间更长。

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备注/Memo

备注/Memo:
基金项目:陕西省卫生健康科研基金(编号:2018SF-218)。
作者简介:李志强(1981-)男,本科,副主任医师,研究方向:呼吸危重症诊治,E-mail:lizq111@qq.com。
通讯作者:李亚洁,女,副主任医师,E-mail:chenkailiyajie@163.com。
更新日期/Last Update: 1900-01-01