论文部分内容阅读
目的:分析心内科老年患者在治疗期间心源性猝死的临床病因,为心内科老年患者心源性猝死提供科学依据以便更好的指导临床实践。方法:选取该院2013年4月至2015年4月在治疗期间发生心源性猝死的患者30例进行回顾性分析,探讨发病的原因及影响因素。结果:在所有引起老年患者出现心源性猝死的临床病因中冠心病、高血压性心脏病、风湿性心脏病是主要影响因素,所占比例分别达到43.33%、15.00%、10.00%。日常生活中存在的危险因素中情绪波动、酗酒、吸烟引发的所占比例分别达到45.00%、25.00%、20.00%。结论:冠心病患者、高血压性心脏病患者、风湿性心脏病治疗期间容易出现心源性猝死,患者容易在情绪波动及有诸如酗酒、吸烟此类的不良生活习惯时发病。治疗期间应密切关注患者的病情进展,警惕潜在的危险因素,做好预后评估,重视对患者的监护,对于降低心源性猝死的概率具有重要的意义。
OBJECTIVE: To analyze the clinical etiology of sudden cardiac death in the elderly patients during cardiology and to provide a scientific basis for sudden cardiac death in the elderly patients in the department of cardiology to better guide the clinical practice. Methods: From April 2013 to April 2015 in our hospital, 30 cases of sudden cardiac death during treatment were retrospectively analyzed to investigate the causes and influencing factors. Results: Coronary heart disease, hypertensive heart disease and rheumatic heart disease were the main influencing factors in all clinical causes of sudden cardiac death in elderly patients, accounting for 43.33%, 15.00% and 10.00% respectively. Among the risk factors in daily life, the proportions caused by mood swings, alcohol abuse and smoking were 45.00%, 25.00% and 20.00% respectively. Conclusion: Patients with coronary heart disease, hypertensive heart disease, rheumatic heart disease prone to sudden cardiac death, the patient is prone to mood swings and have such bad habits like alcoholism, smoking and other diseases. During the treatment, we should pay close attention to the progress of the patient’s condition, be alert to the potential risk factors, evaluate the prognosis well and attach importance to the patient’s care. It is of great significance for reducing the probability of sudden cardiac death.