老龄心脏病与心律失常

来源 :白求恩医科大学学报 | 被引量 : 0次 | 上传用户:wormchen
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本文收集1989~1992年3年老龄心脏病患者172例,进行常规心电图分析,报告如下。 一般资料 本文收集172例老龄心脏病患者,其中男115例,女57例,男女之比近于2:1,其中死亡69例,男43例,女26例,男女之比为1.7:1。69例死亡的老龄心脏病中有肺心病、风心病、冠心病、甲亢心、先心病、心肌炎、心包炎、冠心病并发肺心病、风心病并发冠心病及心肌病等10种。在10种疾病中有105例次心电图改变,其中窦性心动过速占第一位为35例次,心房纤颤为29例,其余依次为室早16例,房性早搏11例次,左束枝传导阻滞6例,右束枝传导阻滞4例及Ⅲ°房室传导阻滞等3例。占首位的冠心病心律失常以窦性心动过速为最多,其次为房颤,肺心病中也是窦性心动过速占首位。风心病占第三位共发生6种心电图改变以房颤居首。并发充血性心力衰竭最多,其次为肺内感染、肾功能不全、心原性休克猝死等。 This article collected from 1989 to 1992 three-year elderly 172 cases of heart disease, the conventional ECG analysis, the report is as follows. General Information This article collected 172 cases of elderly patients with heart disease, of which 115 were male and 57 females, the ratio of male and female close to 2: 1, of which 69 died, 43 males and 26 females, male to female ratio of 1.7: 1. 69 cases of death of elderly heart disease in pulmonary heart disease, rheumatic heart disease, coronary heart disease, hyperthyroidism heart, congenital heart disease, myocarditis, pericarditis, coronary heart disease complicated with pulmonary heart disease, coronary heart disease and cardiomyopathy 10 cases. In 10 kinds of diseases, there were 105 cases of ECG changes, of which sinus tachycardia accounted for the first 35 cases, 29 cases of atrial fibrillation, followed by room as early as 16 cases, 11 cases of atrial premature beats, left Bundle branch block in 6 cases, right bundle branch block in 4 cases and Ⅲ ° atrioventricular block in 3 cases. The first coronary heart disease arrhythmia with sinus tachycardia as the most, followed by atrial fibrillation, pulmonary heart disease is also the first place of sinus tachycardia. Wind-heart disease accounted for the third place in a total of 6 kinds of ECG changes to atrial fibrillation first. Concurrent congestive heart failure, followed by pulmonary infection, renal insufficiency, sudden cardiac death and other cardiac arrest.
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