CAJ | 학술논문

目的分析心血管疾病常见死亡原因及其性别、年龄差异。方法采用回顾性研究方法，收集心血管内科死亡病例资料，分析其心血管疾病罹患情况、直接死亡原因及其性别、年龄差异。结果（1）181例心血管疾病死亡病例中，冠心病（115/181，64％）和高血压（96/181，53％）是最常见的基础疾病，肺部感染（104/181，57％）是最常见的并发症。（2）基础疾病罹患情况男女差异无统计学意义（P＞0．05）。（3）60岁以上心血管死亡患者基础疾病以冠心病、高血压为主；随年龄增加，并发肺部感染的比例逐渐增加。（4）死亡的直接原因，前3位的分别是心源性猝死（44/181，24．3％）、多器官衰竭（24/181，13．3％）、心源性休克（24/181，13．3％）。结论加强老年冠心病、高血压患者，特别是合并糖尿病患者的诊疗管理，加强心血管疾病人群肺部感染的治疗干预，在诊疗中重点保护靶器官功能，可能降低心血管住院患者病死率。
목적분석심혈관질병상견사망원인급기성별、년령차이。방법채용회고성연구방법，수집심혈관내과사망병례자료，분석기심혈관질병리환정황、직접사망원인급기성별、년령차이。결과（1）181례심혈관질병사망병례중，관심병（115/181，64％）화고혈압（96/181，53％）시최상견적기출질병，폐부감염（104/181，57％）시최상견적병발증。（2）기출질병리환정황남녀차이무통계학의의（P＞0．05）。（3）60세이상심혈관사망환자기출질병이관심병、고혈압위주；수년령증가，병발폐부감염적비례축점증가。（4）사망적직접원인，전3위적분별시심원성졸사（44/181，24．3％）、다기관쇠갈（24/181，13．3％）、심원성휴극（24/181，13．3％）。결론가강노년관심병、고혈압환자，특별시합병당뇨병환자적진료관리，가강심혈관질병인군폐부감염적치료간예，재진료중중점보호파기관공능，가능강저심혈관주원환자병사솔。
Objective To analyze the usual death causes of cardiovascular disease and the differences in gender and age .Methods By adopting the retrospective study method ,the clinical data of death cases in cardiovascular disease were collected and analyze on the situation suffering from cardiovascular disease ,direct death causes ,gender and age difference .Results (1) among 181 cases of cardiovascular disease death ,coronary heart disease(115/181 ,64% ) and hypertension(96/181 ,53% ) were the most common dis-ease ,lung infection(104/181 ,57% ) was the most common complication ;(2)There was no significant difference in the situation suf-fering from basic diseases between male and female(P>0 .05);(3)The basic diseases in cardiovascular death cases aged over 60 years old were dominated by coronary heart disease and hypertension ;the proportion of complicating pulmonary infection was grad-ually increased with age increase ;(4) in the direct death causes ,the top 3 places were sudden cardiac death (44/181 ,24 .3% ) ,multi-ple organ dysfunction syndrome(24/181 ,13 .3% ) and cardiogenic shock(24/181 ,13 .3% ) .Conclusion Strengthening the manage-ment of diagnosis and treatment on elderly patients with coronary heart disease ,hypertension ,especially those complicating diabe-tes ,strengthening the treatment intervention of lung infection in cardiovascular disease population and conducting the emphasis pro-tection on the target organ function may reduce the mortality of cardiovascular inpatients .