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目的对慢性肺源性心脏病并发心律失常的诊治特征进行分析。方法选取149例慢性肺源性心脏病患者的临床资料进行回顾性分析,根据病情的不同严重程度分别给予相关检查。结果本组发现有96例慢性肺源性心脏病患者合并有心律失常,发生率为64.43%。主要心律失常类型为窦性心动过速,占38.47%,室性心律失常和房性心律失常也易出现。而房室传导阻滞、多源室性早搏、室上性心动过速、房扑等一些严重的心律失常也时常出现,且心律失常的发生与很多因素密切相关,如年龄、肺部感染、心功能不全、低氧血症、电解质紊乱等。结论慢性肺源性心脏病并发心律失常的治疗关键是及时针对病因和诱因综合治疗,而纠正失常的心率为次要治疗方式。
Objective To analyze the diagnosis and treatment of chronic cor pulmonale complicated with arrhythmia. Methods The clinical data of 149 patients with chronic cor pulmonale were retrospectively analyzed. The related examinations were given according to the severity of the disease. Results The group found that 96 cases of patients with chronic cor pulmonale had arrhythmia, the incidence was 64.43%. The main type of arrhythmia is sinus tachycardia, accounting for 38.47%, ventricular arrhythmias and atrial arrhythmias are also prone to. And atrioventricular block, multi-source premature ventricular contractions, supraventricular tachycardia, atrial flutter and some other serious arrhythmia often appear, and the incidence of arrhythmia and many factors are closely related, such as age, lung infection, Heart failure, hypoxemia, electrolyte disorders. Conclusion The key to the treatment of chronic cor pulmonale complicated with arrhythmia is timely treatment of the cause and cause of the syndrome, and correcting the abnormal heart rate as the secondary treatment.