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心房纤颤是一种常见的心律失常,本文搜集1990年～1992年住院的137名心房纤颤患者病例,筛选出60岁以上患者104例,对其心房纤颤的特点加以分析探讨。临床资料 104例患者中,男性49例,女性55例,年龄最小60岁,最大90岁,平均年龄75岁。冠心病房颤77例,风心病房颤18例,肺心病、扩张性心肌病、甲亢性心脏病、老年性退行性钙化性心脏病及病窦综合症引起的房颤9例。持续性房颤83例,阵发性房颤21例并发心衰者55例。左心房增大(大于33mm)27例,合并体循环栓塞者32例,其中脑栓塞28例,肢体动脉栓塞4例,临床死亡7例,病重自动
Atrial fibrillation is a common arrhythmia. This article collected 137 cases of atrial fibrillation hospitalized in 1990 ~ 1992, screened 104 patients over the age of 60, the characteristics of atrial fibrillation were analyzed. Clinical data 104 patients, 49 males and 55 females, the youngest 60 years old, maximum 90 years old, mean age 75 years. Atrial fibrillation in 77 cases of coronary heart disease, rheumatic atrial fibrillation in 18 cases, pulmonary heart disease, dilated cardiomyopathy, hyperthyroidism heart disease, senile degenerative calcified heart disease and sick sinus syndrome caused by atrial fibrillation in 9 cases. 83 cases of persistent atrial fibrillation, paroxysmal atrial fibrillation in 21 cases complicated by heart failure in 55 cases. Left atrial enlargement (more than 33mm) in 27 cases, combined with systemic embolism in 32 cases, including 28 cases of cerebral embolism, limb arterial embolism in 4 cases, 7 cases of clinical death, severe autoimmune disease