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在老年人中,无论阵发性或持久性心房纤颤(以下简称房颤)多为器质性心脏病所引起。本文就73例老年阵发性房颤的特点及治疗进行讨论。临床资料本文收集了1985～1988年间60岁以上老年人阵发性房颤73例,其中男53例,女20例,年龄60～85岁,平均为67.2岁。临床诊断冠心病70例,风心病、肺心病及头部外伤各1例。心电图诊断过速型房颤37例,心率正常型房颤35例,心率过缓型房颤1例。房颤诱因不明者45例,由感染诱发者13例,其中上呼吸道感染和肺内感染占大多数,因劳累、情绪激动所诱发者居第二位,另有少数由肠道感染、颅内感染和术后感染诱发,个别于饱餐后诱发。在35例快速型房颤中,用西地兰复律者21例,口服乙胺碘
In the elderly, whether paroxysmal or persistent atrial fibrillation (hereinafter referred to as atrial fibrillation) are mostly caused by organic heart disease. This article discusses the characteristics and treatment of 73 elderly patients with paroxysmal atrial fibrillation. Clinical data This article collected 73 cases of paroxysmal atrial fibrillation in elderly over 60 years from 1985 to 1988, including 53 males and 20 females, aged from 60 to 85 years, with an average of 67.2 years. Clinical diagnosis of coronary heart disease in 70 cases, rheumatic heart disease, pulmonary heart disease and head trauma in 1 case. Electrocardiogram diagnosis of 37 cases of atrial fibrillation, normal heart rate atrial fibrillation in 35 cases, 1 case of bradycardia atrial fibrillation. Atrial fibrillation induced unknown in 45 cases, induced by infection in 13 cases, of which the upper respiratory tract infection and pulmonary infection accounted for the majority, due to exertion, emotional induction induced by second place, while a small number of intestinal infection, intracranial Infection and postoperative infection induced, individual induced after a full meal. In 35 cases of rapid atrial fibrillation, 21 cases were treated with cedilanid and oral ethylamine