CAJ | 학술논문

目的：分析急性心肌梗死合并急性胰腺炎患者的临床特点，探讨影响患者死亡的因素。方法共25例急性心肌梗死合并急性胰腺炎患者，分死亡和存活两组，比较在合并症、TNI、NT-proBNP、脂肪酶、淀粉酶方面有无统计学差异。结果死亡组患者的 TNI、BNP、脂肪酶水平明显高于存活组，有统计学意义（P分别为0.001、0.005、0.04）；合并糖尿病和肾功能不全的患者死亡率明显高于无上述合并症者，差异有统计学意义（P分别为0.017、0.012）；Logistic回归分析分析表明，与患者死亡独立相关的预测因子是TNI水平（P=0.022，OR=0.474）。结论急性心肌梗死合并急性胰腺炎患者中，TNI、BNP、脂肪酶的水平的增高与死亡密切相关，合并糖尿病、肾功能不全时死亡的风险高于无上述合并症者，与死亡独立相关的因素是TNI。
목적：분석급성심기경사합병급성이선염환자적림상특점，탐토영향환자사망적인소。방법공25례급성심기경사합병급성이선염환자，분사망화존활량조，비교재합병증、TNI、NT-proBNP、지방매、정분매방면유무통계학차이。결과사망조환자적 TNI、BNP、지방매수평명현고우존활조，유통계학의의（P분별위0.001、0.005、0.04）；합병당뇨병화신공능불전적환자사망솔명현고우무상술합병증자，차이유통계학의의（P분별위0.017、0.012）；Logistic회귀분석분석표명，여환자사망독립상관적예측인자시TNI수평（P=0.022，OR=0.474）。결론급성심기경사합병급성이선염환자중，TNI、BNP、지방매적수평적증고여사망밀절상관，합병당뇨병、신공능불전시사망적풍험고우무상술합병증자，여사망독립상관적인소시TNI。
Objectives To analyze the clinical characteristics of the patients with acute myocardial infarction complicated with acute pancreatitis, and explore the influencial factors of death patients.Methods A total of 25 cases of acute myocardial infarction complicated with acute pancreatitis were divided into two groups, death and survival, compared with complications, TNI, NT-proBNP, lipase and amylase. Results The TNI, BNP, lipase levels were significantly increased in death group compared with those in survival group with statistical significance (P=0.001、0.005、0.04); The mortality in death group is significantly higher than the survival group with the complications of diabetes mellitus and renal dysfunction with statistical significance(P=0.017、0.012); The independent predictors of death is TNI(P=0.022,OR=0.474).Conclusions In patients with acute myocardial infarction complicated with acute pancreatitis,TNI, BNP and lipase levels were the risk factors associated with death, renal function and diabetes increased the death risk, the independent factor associated with death is TNI.