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我院1970~1980年的10年间,发病后6小时因心脏病猝死来急诊者91例,运动中猝死者5例,占5.4%。Rochmis和Blackburn报道,在可疑冠心病患者中,每4000~5000次运动试验发生1例心肌梗塞,而每10000次则有1例猝死。Opie报道,在冠心病易患人群中发现,每1000小时体育运动可诱发2次室颤。由此可见,冠心病患者以运动为直接诱因而猝死者并非罕见。本文收集5例老年或老年前期患有冠心病,在不同种类运动中猝死者加以分析。
Our hospital from 1970 to 1980, 10 years, 6 hours after the onset of sudden death due to heart disease to 91 cases of emergency, 5 cases of sudden death in sports, accounting for 5.4%. Rochmis and Blackburn reported 1 myocardial infarction every 4000 to 5000 exercise tests in suspicious CHD patients and 1 sudden death every 10,000. Opie reports that it is found in people with predisposition to coronary heart disease that ventricular fibrillation can be induced twice per 1000 hours of physical activity. Thus, it is not uncommon for patients with coronary heart disease to die suddenly due to exercise as a direct cause. This article collected 5 cases of elderly or elderly patients with coronary heart disease, sudden death in different types of sports to be analyzed.