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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

26卷

期数:

2020年03期

页码:

230-233

栏目:

临床医学

出版日期:

2020-06-10

文章信息/Info

Title:

Risk factors of acute myocardial injury with sepsis

文章编号:

1006-8147(2020)03-0230-04

作者:

郝迪; 陈兵

（天津医科大学第二医院ICU，天津 300211）

Author(s):

HAO Di; CHEN Bing

（Department of Critical Care Medicine, The Second Hospital, Tianjin Medical University, Tianjin 300211, China）

关键词:

脓毒症; 心肌损伤; 肌钙蛋白; 危险因素; 电解质水平

Keywords:

sepsis; myocardial injury; cardiac troponin; risk factors; electrolyte level

分类号:

R631

DOI:

-

文献标志码:

A

摘要:

目的：探讨脓毒症患者急性心肌损伤的危险因素。方法：将209例脓毒症患者，根据入院时肌钙蛋白I，分为心肌损伤组和非心肌损伤组。比较两组患者临床资料，并将单因素分析提示有显著性差异的因素纳入多因素Logistic回归分析，寻找脓毒症患者急性心肌损伤的独立危险因素。结果：非心肌损伤组病死率显著低于心肌损伤组，差异有统计学意义（P＜0.05）。白细胞、血清钠离子为脓毒症患者急性心肌损伤的独立危险因素。结论：临床上，脓毒症患者应该在积极控制感染的情况下，密切监测电解质，及早给予干预措施。

Abstract:

Objective: To investigate the risk factors of acute myocardial injury in patients with sepsis. Methods: 209 patients were divided into myocardial injury group and non-myocardial injury group according to whether the level of troponin I during admission. After compared the clinical data between two groups, the factors showing significant difference from single factor analysis were included in multivariate Logistic regression analysis to find independent risk factors of acute myocardial injury in patients with sepsis. Results: The mortality rate in the non-myocardial injury group was significantly lower than that in the myocardial injury group(P＜0.05). White blood cell counts and serum sodium ions were independent risk factors for acute myocardial injury in patients with sepsis. Conclusion: Early interventions should be provided and electrolyte levels should be monitored while actively controlling infections in clinic.

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备注/Memo

备注/Memo:

作者简介 郝迪(1994-),女，住院医师，硕士在读，研究方向：脓毒症；通信作者：陈兵，E-mail：tisheng2008@163.com。

常用功能

更新日期/Last Update: 2020-06-13