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目的心房纤维颤动(Af)是成年人最常见的快速心律失常之一,拟了解和掌握Af病人的病因分布特点与临床类型。方法将2001年1月1日-2004年12月31日曾在我院因各种不同病因或情况并发Af而收住院治疗的患者共计246例进行回顾性分析。结果以风湿性心脏瓣膜病(风心病)、冠心病、高血压病为病因者依次占头三位,风心病83例(33．7％),冠心病65例 (26．4％),高血压病42例(17．1％),246例中阵发性Af 48例(19.5％),持续性Af 69例(28．1％)。永久性Af 129例(52．4％)。结论风心病、冠心病、高血压病是Af的主要病因,其中40岁以上风心病居高,60岁以上冠心病、高血压病居高。永久性Af发病率>持续性Af发病率>阵发性Af发病率。关洼Af的病因及临床分型,对治疗Af具有指导意义。
Purpose Atrial fibrillation (Af) is one of the commonest tachyarrhythmias in adults and is intended to understand and understand the etiology and clinical characteristics of patients with Af. Methods A total of 246 patients admitted to our hospital from January 1, 2001 to December 31, 2004 in our hospital for various causes or complications of AF were analyzed retrospectively. Results Rheumatic heart disease (rheumatic heart disease), coronary heart disease and hypertension were the top three causes, rheumatic heart disease 83 cases (33.7%), coronary heart disease 65 cases (26.4%), high 42 cases (17.1%) of hypertension, 48 cases of paroxysmal Af (19.5%) in 246 cases, and 69 cases (28.1%) of persistent Af. Permanent Af 129 cases (52.4%). Conclusion The major causes of Af are rheumatic heart disease, coronary heart disease and hypertension. Among them, rheumatic heart disease is over 40 years old, coronary heart disease over 60 years old and hypertension are the highest. Permanent Af morbidity> Persistent Af morbidity> Paroxysmal Af morbidity. The cause and clinical classification of Af depression have guiding significance for the treatment of Af.