老年心力衰竭186例临床分析

目的：探讨老年人心力衰竭的特点，为诊治老年心力衰竭提供依据。方法：将心力衰竭患者分成中青年组、老年组、高龄组三组，分别对其临床特点进行对比分析。结果：随着年龄的增加，心力衰竭患者为Ⅲ级和Ⅳ级的比例增加；引起心力衰竭的前三位病因分别为冠心病（63.2%）、肺心病（37.9%）、高心病（26.4%），老年组及高龄组常为2～3种疾病同时存在；各组心衰最常见的诱因是感染（58.7%），心律失常（35.3%）也是一常见的诱因；老年患者心力衰竭症状、体征不典型，易致漏诊误诊；老年心力衰竭死亡率高（13.4%）。结论：老年心力衰竭的主要病因为冠心病，年龄越大，临床症状越不典型，心力衰竭程度越重，预后越不良，治疗上要区别对待。

A clinical analysis of elderly patients with heart failure in 186 cases

Objective： To explore the clinical characteristics of elderly patients with heart failure（HF） by analyzing different age-groups clinical data.Methods：269 cases with heart failure were divided into〈60 years group, 60-74 years group and ≥75 years group. Their clinical features were compared and analyzed statistically.Results： With aging, the ratio of NYHA heart function Ⅲ, Ⅳ was significantly increased; the first three diseases which cause HF were coronary heart disease（63.2%）, pulmonary heart disease（37.9%） and hypertension（26.4%） ,however, 2-3 diseases above usually coexisted in elderly and senile patients; the most important cause was infection of HF （58.7%） in all the three age-groups,the ar rhythmias（35.3%）in the elderly and senile patients was also played an important part in causing HF; symptoms and signs were not typical in elderly group and senile group, so the disease often omitted and misdiagnosed; the death in elderly group and senile group （13.4%） increased compared with the other age-groups.Conclusion：The older the patients are, the less typical clinical characteristics are,the more serious complication is ,the more poor the prognosis is.