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肾功能不全病史或入院时肌酐水平升高与急性冠状动脉综合征(ACS)患者结局较差有关。本研究旨在探讨住院期间的肾功能恶化(无论短暂或持续)是否为ACS入院患者6个月死亡的独立危险因素。对2000年6月至2003年5月间共1417例ACS入院患者进行回顾性研究。所有患者被分为3组:I组患者住院期间肌酐升高水平≤5m g/L;Ⅱ组患者肌酐升高水平>5m g/L,出院时恢复;III组患者肌酐升高>5m g/L,出院时仍未恢复。
A history of renal insufficiency or elevated creatinine on admission is associated with poor outcome in patients with acute coronary syndrome (ACS). The aim of this study was to investigate whether any worsening of renal function during hospitalization, whether transient or persistent, is an independent risk factor for 6-month mortality in patients admitted to ACS. A total of 1,417 ACS admitted to our hospital from June 2000 to May 2003 were retrospectively reviewed. All patients were divided into three groups: the level of creatinine in group I was higher than 5 m g / L during hospitalization; the level of creatinine in group II was elevated> 5 mg / L and recovered at discharge; L, still not recovered when discharged from hospital.