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慢性肺源性心脏病并发心律失常临床分析
引用本文:徐桂华,夏辉. 慢性肺源性心脏病并发心律失常临床分析[J]. 河北医学, 2012, 18(10): 1397-1399
作者姓名:徐桂华  夏辉
作者单位:湖北省浠水县人民医院,湖北,浠水,438200
摘    要:目的:分析慢性肺源性心脏病并发心律失常的临床特征.方法:将我院治疗的慢性肺心病患者158例,其中心律失常组97例,非心律失常组61例,给予常规治疗,观察心律失常的类型,比较两组并发症状发生情况.结果:肺源性心脏病并发心律失常最常见的类型主要为窦性心动过速(42.27%)及房性早搏(32.99%);心律失常组并发肺部感染、心力衰竭、缺氧、电解质紊乱分别为100%、44.33%、60.82%、73.20%,与非心律失常组85.25%、18.03%、36.07%、52.46%比较,有统计学差异,P<0.01.结论:肺源性心脏病并发心律失常的发生与年龄、感染、缺氧、电解质紊乱、心力衰竭等因素有关,及时给予相应的治疗能够有效地降低病死率.

关 键 词:慢性肺源性心脏病  并发症  心律失常

Clinical Analysis of Chronic Cor Pulmonale Complicating Arrhythmia
XU Guihua , XIA Hui. Clinical Analysis of Chronic Cor Pulmonale Complicating Arrhythmia[J]. Hebei Medicine, 2012, 18(10): 1397-1399
Authors:XU Guihua    XIA Hui
Affiliation:(The People’s Hospital of Xishui County,Hubei Xishui 438200,China)
Abstract:Objective: To analyse the clinical features of chronic cor pulmonale complicating arrhythmia.Method: 158 cases patients treated in our hospital with chronic cor pulmonale,including arrhythmia group of 97 patients,non-arrhythmia group of 61 patients,They were griven conventional treatment,observed the type of arrhythmia and two groups were compared the incidence of concurrent symptoms.Result: The most common type of chronic cor pulmonale complicating arrhythmia is mainly sinus tachycardia(42.27%) and atrial premature beats(32.99%);Pulmonary infection,heart failure,hypoxia,electrolyte imbalance were 100%,44.33%,60.82%,73.20% in arrhythmia group and 85.25%,18.03%,36.07%,52.46% in non-arrhythmia group.There’s significant difference,P<0.01.Conclusion: Chronic cor pulmonale complicating arrhythmia occurs with age,infection,hypoxia,electrolyte imbalance,heart failure and other factors,timely appropriate treatment can effectively reduce the mortality.
Keywords:Chronic cor pulmonale  Complications  Arrhythmia
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