老年充血性心力衰竭364例临床分析  

作　　者：郑伟[1] 卢小军[1] 吴玉泉[1] 赵园园[1] 费明峰[1] 

机构地区：[1]浙江杭州中国人民解放军第一一七医院,310013

出　　处：《浙江临床医学》2012年第4期417-419,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨老年人充血性心力衰竭（CHF ）的临床特点及治疗措施.方法 对364 例老年CHF 患者的临床资料进行回顾性分析.结果 冠心病、高血压病、肺心病为充血性心力衰竭的主要病因,肺部感染、急性冠状动脉综合征为主要诱因.误诊26 例（占7.14% ）,并发症以心律失常及电解质紊乱为主.治疗有效率92.03%.结论 老年人CHF 的治疗应在消除诱因、治疗病因基础上,采用包括强心、利尿、改善心室重塑以及抗心律失常等综合措施.Objective To explore the clinical features and therapeutic measures of congestive heart failure in the aged. Methods The clinical data of 364 elderly patients with congestive ＂heart failure in this hospital from Jan, 2007 to Dec, 2010 were analyzed retrospectively. Results The coronary heart disease and hypertension were the main etiological factors, pulmonary infection was a major precipitating factor of congestive heart failure in the aged. 7.14% patients were misdiagnosed due to lack of typical clinical symptoms and signs of congestive heart failure in the aged. Arrhythmia and electrolyte disturbances were the main complications. Besides the treatments of inducements and etiologies of congestive heart failure, the therapeutic measures targeted to congestive heart failure including application of cardiotonic, diuresis, vasodilator agents, anti-arrhythmia agents and those drugs improving ventricular remodeling were used in the aged. Conclusion Besides the basic measures of removing inducement factors and treatment of etiological factors, application of the composite treatments including cardiotonic, diuresis, vasodilator agents, anti-arrhythmia agents and those drugs improving ventricular remodeling are important interventions in the aged with congestive heart failure.

关 键 词：充血性心力衰竭 老年 临床特点 治疗措施 

分 类 号：R541.61[医药卫生—心血管疾病]