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本文报告30例(31例次)重症肺心病患者连续心电图监测结果,发现心律失常者占87.1%。其中以房性心律失常最多见,房性早搏发生率最高;其次为室性早搏,而房室传导阻滞较为少见。心律失常发生率与心衰年限、静脉压增高、肺性脑病严重程度、伴有冠心病、低氧血症和PaCO_2增高程度有关。药物治疗效果欠佳。只有呼吸道通畅、控制呼吸道感染、适当氧疗、纠正酸碱失衡等综合治疗方能奏效。
This article reports 30 cases (31 cases) of patients with severe pulmonary heart disease monitoring results of continuous ECG, found that arrhythmia accounted for 87.1%. Which the most common atrial arrhythmia, the highest incidence of atrial premature beats, followed by premature ventricular contractions, and atrioventricular block is rare. The incidence of arrhythmia and heart failure, venous pressure increased, the severity of pulmonary encephalopathy, accompanied by coronary heart disease, hypoxemia and PaCO 2 increased degree. Poor medical treatment. Only the airway patency, respiratory tract infection control, appropriate oxygen therapy, to correct the acid-base imbalance and other comprehensive treatment can work.