心内科住院患者消化道出血的发生率、死亡危险因素及临床特征分析

doi:10.3969/j.issn.1004-583X.2020.06.005

临床荟萃

心内科住院患者消化道出血的发生率、死亡危险因素及临床特征分析

河北医科大学第二医院河北省心脑血管病研究所心内一科，河北石家庄 050000

出版日期:2020-06-20 发布日期:2020-05-18
通讯作者: 崔炜，Email: cuiwei21c@163.com

Analysis of incidence, risk factors of death and clinical characteristics of gastrointestinal bleeding in patients admitted to the department of cardiology

Department of Cardiology, the Second Hospital of Hebei Medical University, Institute
of Cardiocerebrovascular Disease of Hebei Province, Shijiazhuang 050000, China

Online:2020-06-20 Published:2020-05-18
Contact: Corresponding author：Cui Wei，Email: cuiwei21c@163.com

摘要/Abstract

摘要： 目的探讨心内科住院患者消化道出血的发生率、死亡危险因素及临床特征。方法回顾分析河北医科大学第二医院2014年1月至2018年12月633例心内科住院患者消化道出血的临床资料，分析其发生率、死亡危险因素及临床特征。结果心内科住院患者消化道出血的发生率为0.5%；年龄，入院时的心率、白蛋白、天冬氨酸转氨酶、血小板水平以及使用阿司匹林+替格瑞洛、华法林+他汀类等药物是死亡的独立危险因素；大部分消化道出血的原因不明（57.0%，361/633）；主要的临床表现为黑便（53.2%，337/633）、呕血（39.8%，252/633）和血便（12.3%，78/633）。结论心内科住院患者消化道出血的发生率比较低；年龄，入院时的心率、白蛋白、天冬氨酸转氨酶、血小板水平以及使用阿司匹林+替格瑞洛、华法林+他汀类等药物是死亡的独立危险因素；大部分心内科住院患者消化道出血的原因不明；呕血，黑便和血便是常见的临床表现。

关键词: 胃肠出血, 心内科, 发生率, 危险因素, 症状和体征

Abstract: Objective To investigate the incidence of gastrointestinal bleeding(GIB), risk factors for death, and clinical characteristics of GIB in patients admitted to the department of cardiology. Methods The clinical data of 633 GIB patients admitted to the department of cardiology from January 2014 to December 2018 in the hospital were retrospectively analyzed. Results The incidence of GIB in patients was 0.5%. Age, heart rate, albumin, aspartate aminotransferase, platelet levels at admission and the use of aspirin+ticagrelor, warfarin Lin+statins and other drugs were independent risk factors for death. The cause of most GIB was unknown (57.0%, 361/633). The main clinical manifestations were melena (53.2%, 337/633), hematemesis(39.8%, 252/633) and bloody stools (12.3%, 78/633). Conclusion The incidence of GIB in patients was relatively low. Age, heart rate, albumin, aspartate aminotransferase, platelet levels at admission, and the use of aspirin+ticagrelor, warfarin+statins and other drugs were independent risk factors for death. The cause of most GIB was unknown.Hematemesis, melena and bloody stools werecommon clinical manifestations.

Key words: gastrointestinal hemorrhage, cardiology, incidence, risk factors, symptoms and signs

张明，刘德敏，王倩，耿雪，侯倩，谷国强，谢瑞芹，崔炜. 心内科住院患者消化道出血的发生率、死亡危险因素及临床特征分析[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2020.06.005.

Zhang Ming, Liu Demin, Wang Qian, Geng Xue, Hou Qian, Gu Guoqiang, Xie Ruiqin, Cui Wei. Analysis of incidence, risk factors of death and clinical characteristics of gastrointestinal bleeding in patients admitted to the department of cardiology[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2020.06.005.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2020.06.005

https://huicui.hebmu.edu.cn/CN/Y2020/V35/I6/508

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心内科住院患者消化道出血的发生率、死亡危险因素及临床特征分析

Analysis of incidence, risk factors of death and clinical characteristics of gastrointestinal bleeding in patients admitted to the department of cardiology

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