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目的探讨分析肺心病心律失常的主要临床特征以及临床治疗。方法选取我院2014年11月~2016年6月收治的肺心病患者49例作为研究对象,均于入院后48 h之内进行24 h心电监护或通过反复常规12导联心电图检查,临床及时发现本组患者的肺心病心律失常的类型特点,并加以临床分析。结果本组肺心病49例患者中,合并心律失常46例(93.88%)。而肺心病心律失常的类型表现最多的是房性心律失常,其占比率为67.39%(31/46);其次表现为窦性心动过速13.04%(6/46)以及室性心律失常10.87%(5/46);另外,表现为严重心律失常8.70%(4/46),如室上性心动过速与房室传导阻滞等。结论临床上肺心病患者合并心律失常情况极为常见,其心律失常的严重程度与肺心病病情的严重程度间的相关性分析密切,因而应通过积极的肺心病病因及心律失常合并症的特点分析,使用最佳办法进行对症治疗,从而实现最终的抗肺心病心律失常的疗效。
Objective To explore the main clinical features and clinical treatment of pulmonary heart disease arrhythmia. Methods Forty-nine patients with pulmonary heart disease admitted in our hospital from November 2014 to June 2016 were enrolled in this study. All patients were monitored within 24 hours after admission by 24 h ECG or by routine 12-lead electrocardiogram. Found in this group of patients with pulmonary heart disease type characteristics of arrhythmia, and to be clinical analysis. Results Of 49 patients with pulmonary heart disease in this group, 46 cases (93.88%) had arrhythmia. The most common type of pulmonary heart arrhythmia was atrial arrhythmia, accounting for 67.39% (31/46), followed by sinusoidal tachycardia (13.04%, 6/46) and ventricular arrhythmia (10.87% (5/46); in addition, the performance of severe arrhythmia 8.70% (4/46), such as supraventricular tachycardia and atrioventricular block. Conclusions In clinical practice, patients with pulmonary heart disease complicated with arrhythmia are extremely common. The correlation between the severity of arrhythmia and the severity of pulmonary heart disease is closely analyzed. Therefore, we should analyze the causes of active pulmonary heart disease and the characteristics of arrhythmia complications, Use the best approach to symptomatic treatment, in order to achieve the ultimate anti-pulmonary heart disease arrhythmia effect.