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强直性脊柱炎死亡原因分析 被引量:10

The causes of death in ankylosing spondylitis:a report of 20 cases
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摘要 目的分析强直性脊柱炎(AS)的死亡原因,提高对AS死因认识,加强治疗对策,提高防治水平。方法对20例AS患者死亡原因进行回顾性分析。结果20例AS患者的平均死亡年龄为(57±18)岁,平均病程(32±11)年。合并肺部感染4例,占20%;冠心病4例,占20%;上消化道出血3例,占15%;肺间质病变并感染致呼吸衰竭3例,占15%;脑血管病3例,占15%;合并恶性肿瘤2例(胃癌、结肠癌各1例),占10%:肾功能不全1例,占5%。结论AS患者平均寿命缩短近14年,死亡的主要原因为合并感染和心脑血管疾病,其次为上消化道出血和恶性肿瘤。 Objective To promote the understanding of the cause of death inpatients with ankyiosing spondylitis (AS) and to improve the prevention and therapy strategy of AS. Methods Retrospectively analysis the death of twenty patients with AS. Results Twenty patients with AS, the average age of death was (57±18) years old, the mean duration was (32±11) years.four20%cause died from pulmonary infection,4 (20% )died from cardiovascular, 3(15% )died from respiratory failure attributed to interstitial lung disease and 3(15%)frem the cerebral vascular accident, 3(15%)died from hemorrhage of upper digestive tract, 2(10%)died from malignancy(l gastric carcinnoma and 1 cancer of colon), 1(5%)attributed to renal failure. Conclusions The life span of patients with AS has been reduced by 14 years,The causes of death are mainly infection and eaMiovascular, interstitial malignancy and hemorrhage of upper digestive tract.
作者 曾宪国
出处 《海南医学》 CAS 2006年第2期57-58,共2页 Hainan Medical Journal
关键词 脊柱炎 强直性 死亡原因 死亡率 Spondylitis, ankylosing Cause of death Mortality
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参考文献5

  • 1Kahn MA. Ankylosing spondylitis and other spondyloarthropathies. Rheum Dise Clin North Am[J],1990,16:551.
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