老年人腹部手术后心衰临床危险因素分析_林延明.pdfVIP

·308 · 　20 10 8 28 9 4 　ChinJMultOrganDisElderl,yVo.l9, No.4, Aug28, 2010 · · 林延明,朱慧楠, 刘小鹏, 许　庆,郑　曦, 富大鹏, 康宁超 　　【】　　。　≥65 7 62 , , 32 , 4.2%。 。　 1 ～3 d19 (59.3%), (53.1% vs25.2%); ( 62.5% vs3 8.6% 25.0% vs4.0%); (4 1.4% vs15.8%); T≥0.05 mV(34.4% vs18.2%)、 1 ～3 d 10×109 /L(3 1.3% vs16.0%)、≥2 500 ml/d (21.9% vs7.1%), 。 logistic:(OR=9.52)、 (OR=15.7 23 )、 (OR=2.9 33 )。　 、、、、 T≥0.05 mV、 1 ～3 d 9 10×10 /L、≥2 500 ml/d; 、。 【】　, ;;, 【】　R592　　　　【】　A　　　　【】　1671-5403 (20 10 )04 -04 Clinicalriskfactorsofheartfailureafterabdominal operationinelderlypatients LINYanming, ZHUHuinan, LIUXiaopeng, etal Departmentofurgery, BeijingZhongguancunHospita,lBeijing100190, China 【Abstract】　Objective　Toevaluatetheclinicalriskfactorsofheartfailurefollowinganabdominaloperationinelder- lypatients.Methods　Atotalof762 patients(≥65 years)whounderwentanabdominaloperationweredividedintoheart failuregroup(n=32)andcontrolgroup(n=730 ).Theirclinicaldatawereanalyzedretrospectivelytoevaluatetheriskfac- torsofheartfailure.Results　Nineteenpatients(59.3%)sufferredfromheartfailureat1-3 daysafterabdominalopera- tion.Comparedwithcontrolgroup, inheartfailuregroup, thereweremorepatientsofadvancedage(53.1% vs25.2%), morepatientswithhistoryofcoronaryheartdisease(62.5% vs38.6%)andheartfailure(25.0% vs4.0%), morepa- tientsfollowingemergencyoperation(41.4% vs15.8%), morepatientswithpreoperativeTsegmentdepression(≥0.05 9 mV)(34.4% vs18.2%), morepatientswithWBC10×10 /Lat1-3 daysafteroperation(31.3% vs16.0%), andmore patientswithinfusionfluid≥2 500 ml/d(2 1.9% vs7.1%, P0.05 ).Amultivariablelogisticregressionanalysisshowed thatthehistoryofheartfailure(OR=9.52), emergencyoperation(OR=15.7 23 )andadvancedage(