慢性肺原性心脏病心律失常的临床分析

目的探讨肺原性心脏病心律失常的特点及治疗原则。方法收集肺心病心律失常患者429例，进行系统分析。结果肺心病可以并发各种类型的心律失常，其中以窦性心动过速为主，占54．5％，其次是房性期前收缩占25．4％，心房纤颤占7．0％，右束支传导阻滞占4．7％，阵发性室上性心动过速（包括紊乱性房性心动过速）占4．2％，室性期前收缩占2．3％，Ⅰ度房室传导阻滞占1．9％。结论肺心病心律失常的治疗只有采取综合治疗措施，才能纠正心律失常，取得较好的疗效。

The clinical analysis on arrhythmia of patients with chronic puonary heart disease

Objective To perform analysis on arrhythmia of patients with chronic pulmonary heart disease. Methods Systematic analysis was performed on 429 patients with COPD complicated with arrhythmia. Results The patients with chronic pulmonary heart disease could develop miscellaneous arrhythmic, in which sinus tacbycardia was the most （54.5 %）, followed by premature atrial contraction （25.4 %）, atrial fibrillation （7.0 % ）, right bundle branch block （4.7%）, paroxysmal supraventricular tachycardia （4.2%, including chaotic atrial tachycardia）, premature ventricualr contraction （2.3%） and first degree atrioventricular block （1.9%）. Conclusion Only integrated therapeutic measure is taken, can arrhythmia complicated by COPD be retrieved effectively.