目的分析颅内出血急性期患者血清淀粉酶升高的影响因素。方法回顾性分析2016年11月至2018年11月北京大学第三医院延庆医院重症监护室(intensive care unit, ICU)收治的137例颅内出血急性期患者的临床资料,根据入院后7 d内血清淀粉酶水平将其分为血清淀粉酶升高组(80例)和血清淀粉酶正常组(57例),分析血清淀粉酶升高的独立危险因素。结果单因素分析中,两组在格拉斯哥昏迷评分(Glasgow Coma Scale, GCS)、脑疝、中线移位、休克、机械通气、颅脑手术等方面差异均有统计学意义(P <0.05)。多因素logistic回归分析显示,机械通气(OR=3.100,95%CI:1.451~6.623)、休克(OR=9.444,95%CI:1.186~75.236)是导致颅内出血急性期血清淀粉酶升高的独立危险因素。结论颅内出血急性期合并休克、使用机械通气是患者发生血清淀粉酶升高的独立危险因素。
The left ventricular apical systolic dysfunction syndrome was a rare acute cardiac syndrome.Its clinical presentation and electrocardiography were similar to acute myocardial infarction.The syndrome was characterized by transient ventricular wall-motion abnormalities involving the left ventricular apex and mid-ventricle in the absence of obstructive epicardial coronary disease.Cardiac enzyme was normal or minor elevation.At present,the cause of the syndrome is unknown.In this paper,we describe a 56-year-old female patient.She was admitted in hospital for acute appendititis and the transient left ventricular apical ballooning syndrome.She developed acute heart failure and septic shock in the hospital.The drainage of the appendiceal abscess was done and the heart failure and septic shock recovered completely in a few days.
