老年患者猝死临床分析

目的分析老年患者猝死的原因及危险因素,为降低老年科住院患者猝死发生率提供依据。方法对2010年1月～2011年10月老年科住院期间发生猝死病例的临床资料进行回顾性分析。结果猝死原因有心源性猝死、脑血管意外、急性呼吸衰竭:心源性猝死16例,占51.61%,为主要原因。猝死高危年龄:80岁以上;人院1月内均为猝死高危期。有诱因者占51.61%,有先兆症状者占54.84%。结论老年科猝死病例多患有心脏疾病且伴有其他疾病,对于此类患者应严密观察及治疗。

Clinical analysis of sudden death of the elderly

OBJECTIVE To investigate the cause and the risk factors of sudden death of the elderly.METHODS Cases of sudden death occurred during recent one year in the department of geriatrics of our hospital were retrospectively analyzed.RESULTS The causes of sudden death were cardiac sudden death,cerebrovascular accident and acute respiratory failure.The major cause is cardiac sudden death,16 cases(51.6%).High risk age of sudden death is over 80 years old.The sudden death often occurred within one month of admission.Among sudden death cases,51.6% of cases had definite cause.54.8% of cases had premonitory signs.CONCLUSION In elderly sudden death,most of patients accompany with cardiac disease and more comorbidities,so these patients should be carefully monitored and treated.