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目的:对老年人心功能不全早期症状进行分析并就如何预防研究。方法:选取2009年4月至2011年9月间,经我院门诊和入院治疗的150名心衰患者,依据不同年龄分成三组,总结归纳每组的患病原因,并记录老年人心功能不全的诱因。统计每组患者的心衰病理类型,有无伴随心肺基础疾病。结果:出现的明显诱因:感染67例,心律失常26例,血容量增加17例,过度的体力劳动和情绪激动13例,治疗不当2例,其他的25例明显诱因,为病情进行性加重。伴随寻血管基础疾病:高血压143例,冠状动脉硬化症129例,肺心病34例,心律失常25例,老年退行性瓣膜病8例,先心病5例。伴随其他系统的慢性疾病:慢性阻塞性肺疾病91例,糖尿病43例,肾脏疾病28例,血液系统疾病9例。结论:老年人心功能不全,应重视舒张性心衰,其不仅发病率高,更容易被忽视,且没有确切有效的治疗方案,重点是针对病因的治疗和延缓其病情的发生发展[1]。
Objective: To analyze the early symptoms of heart failure in the elderly and how to prevent it. Methods: From April 2009 to September 2011, 150 patients with HF who were treated in our hospital and admitted to hospital were divided into three groups according to different ages. The causes of each group were summarized and the cardiac dysfunction The incentive. Statistics of each group of patients with heart failure pathological type, with or without heart and lung underlying diseases. Results: There were 67 cases of infection, 26 cases of arrhythmia, 17 cases of increased blood volume, 13 cases of excessive manual labor and emotional agitation, 2 cases of improper treatment and 25 cases of obvious inducement, which aggravated the condition. Accompanied by vascular diseases: 143 cases of hypertension, 129 cases of coronary atherosclerosis, pulmonary heart disease in 34 cases, 25 cases of arrhythmia, degenerative valvular disease in 8 cases, 5 cases of congenital heart disease. Chronic diseases with other systems include 91 cases of chronic obstructive pulmonary disease, 43 cases of diabetes, 28 cases of kidney disease and 9 cases of blood system diseases. Conclusion: Elderly patients with cardiac insufficiency should pay attention to diastolic heart failure, which is not only high in morbidity but also easily overlooked. There is no definite and effective treatment plan. The emphasis is on the treatment of the etiology and the delaying of its occurrence and development [1].