血小板分布宽度与急性心肌梗死患者严重程度及预后的相关性分析

doi:10.3969/j.issn.1002-1949.2018.05.006

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摘要目的探究血小板分布宽度(PDW)与急性心肌梗死(AMI)患者病情严重程度和预后的相关性。方法选择2015-06~2016-06河南医学高等专科学校附属医院收治的AMI患者297例，根据患者就诊时的PDW水平，将其分为低PDW组(≤17%)144例和高PDW组(>17%)153例。比较两组患者的既往高血压、高血脂、糖尿病、心率、肌酐等基本资料，Killip分级，充血性心力衰竭、心源性休克、1年内病死率或再梗死发生率、住院期间病死率和1年内病死率。结果高PDW组的患者吸烟史比例、Killip Ⅳ级患者比例、充血性心力衰竭、心源性休克、1年内病死或再梗死发生率、住院期间病死率明显高于低PDW组(χ2=9.12、4.73、5.79、5.24、16.41、20.57;P<0.05)；胸痛发生时间、KillipⅡ级患者比例明显低于低PDW组(t=7.28, χ2=4.25;P<0.05)。结论 PDW与AMI患者病情严重程度呈明显正相关，同时患者PDW上升，可能提示患者1年病死率和梗死再发生率较高，有助于指导临床治疗，改善患者的预后。

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	李瑞娜
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关键词 ：血小板分布宽度（PDW）, 急性心肌梗死（AMI）, 预后, GRACE风险评分, 病死率

作者简介: 李瑞娜（1976-），女，副主任医师，E-mail:xghht090907@163.com。

引用本文:

李瑞娜，李红，李博. 血小板分布宽度与急性心肌梗死患者严重程度及预后的相关性分析[J]. 中国急救医学, 2018, 38(5): 399-.
Li Rui-na, Li Hong, Li Bo. Analysis of the correlation between PDW and severity and prognosis of patients with acute myocardial infarction. Chinese Journal of Critical Care Medicine, 2018, 38(5): 399-.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2018.05.006 或 http://www.cnemergency.org.cn/CN/Y2018/V38/I5/399

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