老年难治性心力衰竭18例临床特点分析  

Analysis of clinical characteristics of 18 senile refractory heart failure cases

作　　者：杨帆 

机构地区：[1]云南昆钢医院心血管内科,650302

出　　处：《中国实用医药》2015年第9期31-32,共2页China Practical Medicine

摘　　要：目的探讨分析老年难治性心力衰竭患者的临床特点,为今后本病的治疗提供参考。方法 18例老年难治性心力衰竭患者,在详细分析其病因及诱因的基础上行针对性治疗,评价治疗结果。结果本组患者均患有一定的心脏疾病、高血压或(及)糖尿病等病;诱发心力衰竭的原因主要为心律失常及心肌缺血等;治疗后显效9例,有效6例,无效3例,无效患者中有2例死亡,死因为多器官功能衰竭。结论老年难治性心力衰竭患者诱因较多,同时基础病各异,对不同基础病给予针对性治疗,同时辅以吸氧、抗感染、血管扩张剂等综合治疗,疗效较好,值得临床应用推广。Objective To explore and analyze clinical characteristics of patients with senile refractory heart failure, in order to provide reference for further treatment. Methods There were 18 patients with senile refractory heart failure, and they received targeted treatment on the basis of detailed analysis of pathogenesis and inducement. Curative effect was evaluated. Results All patients had a certain degree of heart disease, hypertension, diabetes and other diseases. The main inducement of heart failure included arrhythmia and myocardial ischemia. After treatment, there were 9 cases with excellent effect, 6 effective cases, and 3 ineffective cases. Among the 3 cases, there were 2 death cases due to multiple organ failure. Conclusion There are muhiple inducements of senile refractory heart failure. Due to different basic disease, implement of targeted treatment combined with oxygen inhalation, anti-infection, and vasodilator substance treatment can provide precise effect, and it is worthy of clinical promotion and application.

关 键 词：难治性心力衰竭 老年 诱发原因 临床特点 

分 类 号：R541.6[医药卫生—心血管疾病]