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年龄60～82岁。心律失常房颤者居首位32例(21.3％),其次为室性早搏28例(18.7％)和窦性心动过速22例(14.7％)。引起房颤的原因多为冠心病和肺心病。各种类型窦缓和束支传导阻滞共19例(12.7％),病因多为冠心病和高血压病。感染(32例)和心肌缺氧(30例)是诱发心律失常的最常见诱因。治疗中恢复窦性心律者仅占37.3％,好转者占34.7％,病情1个月内无变化者达21.3％。治疗明显好转者复发率为58.7％,提示老年人心律失常要坚持长期治疗、观察。
Age 60 ~ 82 years old. Among the 32 patients (21.3%) with arrhythmia and atrial fibrillation, 28 (18.7%) had ventricular premature beats and 22 (14.7%) had sinus tachycardia. Causes of atrial fibrillation are mostly coronary heart disease and pulmonary heart disease. A total of 19 cases (12.7%) of all types of sinus lesion of the bundle branch block, the cause of mostly coronary heart disease and hypertension. Infection (32 cases) and myocardial hypoxia (30 cases) were the most common causes of arrhythmia. Treatment of patients with sinus rhythm recovery accounted for only 37.3%, improved accounted for 34.7%, the disease within 1 month no change was 21.3%. The cure rate was 58.7%, which suggested that long-term treatment and observation should be insisted on the arrhythmia in the elderly.