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目的探讨肺心病并发心律失常的分类及合并症。方法选择60例肺心病患者进行心电图及其它实验室检查,对出现心律失常34例进行分析。结果本组60例并发心律失常34例,其中两种以上心律失常者14例,占41.18%,其发生心律失常48例次,激动起源异常37例次,占77.08%,传导异常11例次,占22.92%。激动起源异常中,室上性心律失常占67.57%,室性心律失常占32.43%。传导异常中,右束支传导阻滞最多见占72.73%。结论肺心病心律失常发生率较高,且与肺心病患者病情严重程度密切相关,而心律失常治疗应通过积极的病因及合并症治疗,使用抗心律失常药物不是最佳办法。
Objective To investigate the classification and complications of pulmonary heart disease complicated with arrhythmia. Methods Sixty patients with pulmonary heart disease were selected for electrocardiogram and other laboratory tests, and 34 patients with arrhythmia were analyzed. Results The group of 60 patients with arrhythmia in 34 cases, of which 14 cases of two or more arrhythmias, accounting for 41.18%, arrhythmia occurred in 48 cases, the origin of abnormalities 37 cases, accounting for 77.08%, 11 cases of conduction abnormalities, Accounting for 22.92%. Excited anomalies, supraventricular arrhythmias accounted for 67.57%, ventricular arrhythmias accounted for 32.43%. Conduction abnormalities, right bundle branch block the most common accounted for 72.73%. Conclusions The incidence of arrhythmia of pulmonary heart disease is high, and it is closely related to the severity of patients with pulmonary heart disease. Arrhythmia treatment should be treated by active etiology and complications. Antiarrhythmic drugs are not the best method.