心房颤动188例临床分析

目的探讨心房颤动（房颤）的基础疾病、并发症及抗凝治疗情况。方法选取1993年1月到2006年12月期间在我院住院的房颤患者188例，采用回顾性分析方法对其进行研究。结果与房颤相关的病因谱发生明显变化：风湿性瓣膜疾病已由第1位下降，而高血压、冠心病等心血管疾病成为房颤的主要相关疾病；栓塞性疾病是房颤的严重并发症；华法林使用比率很低。结论房颤的防治应引起临床关注，尤其应加强对房颤诱因的监测和治疗，以及房颤的抗凝治疗。

Clinical analysis of the 188 inpatients with atrial fibrillation

Objective To investigate the related basal disease and complicatio-ns and anticoagulation of atrial fibrillation （AF）.Methods The 188 inpatients with AF were scrutinized. Retrospective analysis was made. Results The etiology of AF bad changed significantly that the hypertension and coronary heart disease were ranged chiefly, whereas the rheumatic valvular disease was declined from first. Thrombosis was important complication in atrial fibrillation. Using of Warfalin the ratio was very low. Conclusion Prevention and treatment of AF should be paid clinical attention. The inducements of AF should be closely monitored and treated. Treatment of anticoagulation should be emphasized.