慢性心力衰竭住院死亡病例临床分析

Clinical investigation of hospital death cases with chronic heart failure

目的分析慢性心力衰竭（CHF）住院死亡病例的临床特点,为心力衰竭的防治提供依据。方法对2002年1月-2009年12月期间于大连市中心医院心内科住院死亡的239例CHF患者临床资料进行回顾性分析。结果死亡病例的病因以冠心病和高血压心脏病为主,分别为46.4%、21.3%;心力衰竭后总的生存期为5年（2-10年）,男性生存期4年（1-10年）,女性生存期5年（2-15年）;死亡方式依次为：泵衰竭144例（60.3%）,其他并发症死亡44例（18.4%）,猝死36例（15.9%）,脑梗死8例（3.3%）,死因未明3例（1.3%）,脑出血2例（0.8%）。结论冠心病和高血压心脏病是心力衰竭住院死亡的主要病因;心力衰竭主要死亡方式为泵衰竭和猝死。

【Objective】Analysis of the clinical features of patients hospitalized with heart failure deaths, provide the basis for the prevention and treatment of heart failure.【Methods】From January of 2002 to December of 2009, Dalian Central Hospital Cardiology hospital mortality in patients with CHF 239 cases clinical data were retrospectively analyzed. 【Results】 Cause of deaths in coronary heart disease and hypertensive heart disease based, respectively, 46.4% and 21.3%; overall survival of heart failure after 5 years（2 years to 10 years）, male survival of 4 years（1 year ~ 10 years）, female survival of 5 years（2 years to 15 years）; manner of death were： pump failure 144 cases（60.3%）, other complications death in 44 cases（18.4%）; sudden death in 36 cases（15.9%）, cerebral infarction in 8 cases（3.3%）, death unknown three cases（1.3%）,brain bleeding 2 cases（0.8%）.【Conclusion】Coronary heart disease and hypertensive heart disease is a major cause of death in heart failure hospitalization; heart failure as the main way to die pump failure and sudden death