中国体外生命支持2026，Vol.24Issue(1)：13-17,24,6.DOI:10.13498/j.cnki.chin.j.ecls.2026.01.03
脑梗死患者心脏瓣膜术后近期死亡的危险因素分析
Risk Factors for Short-term Mortality After Heart Valve Surgery in Patients Complicated With Preoperative Cerebral Infarction
高竣迪 1孙广龙 2伯平 2谢进生2
作者信息
- 1. 首都医科大学附属北京安贞医院体外循环及机械循环辅助科,北京 100029
- 2. 首都医科大学附属北京安贞医院微创心脏外科中心,北京 100029
- 折叠
摘要
Abstract
Objective To explore the risk factors for 30-day mortality after heart valve surgery in patients complicated with preoperative cerebral infarction.Methods From January 1st,2010 to July 31st,2022,435 consecutive patients complicated with preoperative cerebral infarction,who underwent heart valve surgery in our center,were enrolled retrospectively.Univariable and multivariable logistic analyses were performed to identify predictors of 30-day mortality.Results 30-day mortality was 8.51%overall among the 435 patients.Multivariable logistic analysis showed that preoperative chronic lung disease(OR=9.184,95%CI:2.132-39.560,P=0.003),higher BMI(OR=1.147,95%CI:1.017-1.294,P=0.026)and lower endogenous creatinine clearance rate(OR=0.977,95%CI:0.955-0.999,P=0.037)were independent risk factors.Conclusion Preoperative chronic lung disease,higher BMI and lower endogenous creatinine clearance rate were independent risk factors for 30-day mortality in patients complicated with preoperative cerebral infarction,who underwent heart valve surgery.关键词
脑梗死/心脏瓣膜手术/危险因素Key words
cerebral infarction/heart valve surgery/risk factor引用本文复制引用
高竣迪,孙广龙,伯平,谢进生..脑梗死患者心脏瓣膜术后近期死亡的危险因素分析[J].中国体外生命支持,2026,24(1):13-17,24,6.
