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婴幼儿重症肺炎并发心力衰竭的高危因素分析 被引量:1

The Risk Factors for Infants With Severe Pneumonia Complicated with Heart Failure
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摘要 目的 探讨婴幼儿重症肺炎并发心力衰竭的高危因素 ,为降低婴幼儿重症肺炎的病死率提供理论依据。 方法 对全省 1 3家县级医院儿科自 2 0 0 0年 7月 1日~ 2 0 0 1年 6月 30日期间收治的 567例婴幼儿重症肺炎是否并发心力衰竭进行前瞻性研究 ,调查 1 0个因素。按有心力衰竭和无心力衰竭两组进行单因素和多因素 Logistic回归分析。 结果 单因素分析显示 :年龄、血色素、先天性心脏病、危重病儿评分与婴幼儿重症肺炎并发心力衰竭有关。多因素分析显示 :年龄、血色素、先天性心脏病、危重病儿评分与婴幼儿重症肺炎并发心力衰竭有关。 结论 年龄、血色素、先天性心脏病。 Objective To investigate risk factors for 1~36 month old infants with severe pneumonia complicated with heart failure, and provide a theoretical gist to reduce the mortality rate of inpatients with severe pneumonia. Methods Prospective study of data collected among 567 inpatients suffering from severe pneumonia from July 1,2000 to June 30,2001 in 13 randomly selected hospitals in Hunan. 10 factors are surveyed, and data classified in two groups (heart failure or no heart failure) is analyzed by single logistic regression and multiple logistic regression. Result The result analyzed by single logistic regression shows that age, hematin, congenital heart disease, evaluation severity score are the risk factors related with severe pneumonia and heart failure. At the same time the result analyzed by multiple logistic regression suggests that: age, hematin, congenital heart disease, evaluation severity score are the risk factors related with severe pneumonia and heart failure. Conclusion Age, hematin, congenital heart disease, evaluation severity score are risk factors related with severe pneumonia and heart failure.
出处 《实用预防医学》 CAS 2003年第3期292-293,共2页 Practical Preventive Medicine
基金 卫生部十年百项推广项目
关键词 重症肺炎 心力衰竭 高危因素 Severe pneumonia Heart failure Risk factor
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  • 1吴瑞萍 胡亚美 江戴芳 主编.实用儿科学 第6版[M].北京:人民卫生出版社,1996.463-479.
  • 2Pollack MM,Patel KM, Ruttimann UE. The Pediatric Risk of Mortality - Acute Physiology Score (PRISM APS) : a method of assessing physiologic instability for pediatric intensive care unit patients[J]. J Pedlar 1997 Oct : 131 (4) : 575 -- 581.
  • 3Victora CG. Kirkwood BR. Ashworth A.et al. Potential interventions for the prevention of childhood pneumonia in developing countries :improving nutrition [J]. Am J Clin Nutr, 1990.70 ( 3 ) : 309-320.

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