慢性肺源性心脏病合并心律失常临床特征分析  

Analysis of Clinical Features of Chronic Pulmonary Heart Disease Complicated with Arrhythmia

作　　者：赵霞[1] ZHAO Xia(Department of Respiratory Medicine,Dafeng People's Hospital,Dafeng,Jiangsu Province,224100 China)

机构地区：[1]江苏省大丰市人民医院呼吸内科,江苏大丰224100

出　　处：《系统医学》2018年第23期46-48,共3页Systems Medicine

摘　　要：目的探讨慢性肺源性心脏病合并心律失常临床特征及诊治体会。方法分析2016年1月—2017年12月120例慢性肺源性心脏病患者相关资料,观察心律失常种类及构成比;比较两组患者电解质紊乱、应用洋地黄制剂、呼吸衰竭、并发症等差异以探讨心律失常的因素;观察心律失常对患者预后的影响。结果合并各种心律失常50例(41.67%),包括窦性心动过速32.00%、房室早搏18.00%、房性心动过速16.00%、心房颤动10.00%、室性早搏8.00%、束支传导阻滞6.00%、心房扑动6.00%、房室传导阻滞4.00%,心律失常组电解质紊乱70.00%、应用洋地黄制剂26.00%、呼吸衰竭46.00%、并发症64.00%高于无心律失常组的44.29%、11.43%、17.14%、31.43%(χ~2=8.13、4.46、7.98、8.22,P<0.05),50例心律失常患者住院时间(21.22±4.12)d,5例(10.00%,5/50)死亡高于70例无心律失常的(16.22±2.79)d,2例(2.86%,2/70)(t/χ~2=4.14、4.03,P<0.05)。结论心律失常是慢性肺源性心脏病并发症之一,对预后有不良影响,掌握慢性肺源性心脏病心律失常的特点,合理洽疗以降低患者死亡率。Objective To investigate the clinical features and diagnosis and treatment of chronic pulmonary heart disease complicated with arrhythmia. Methods The data of 120 patients with chronic pulmonary heart disease from January 2016 to December 2017 were analyzed. The types and composition ratios of arrhythmia were observed. The differences of electrolyte imbalance, application of digitalis preparation, respiratory failure and complications were compared between the two groups. To explore the factors of arrhythmia; to observe the impact of arrhythmia on the prognosis of patients. Results 50 cases(41.67%) including arrhythmia, including sinus tachycardia 32.00%, atrioventricular premature beats 18.00%, atrial tachycardia 16.00%, atrial fibrillation 10.00%, ventricular premature beats 8.00%, bundle branch conduction Blocking 6.00%, atrial flutter 6.00%, atrioventricular block 4.00%, arrhythmia electrolyte imbalance 70.00%, digitalis preparation 26.00%, respiratory failure 46.00%, complications 64.00% higher than arrhythmia group 44.29%, 11.43%, 17.14%, 31.43%(χ^2=8.13, 4.46, 7.98, 8.22, P<0.05), hospitalization time of 50 patients with arrhythmia (21.22±4.12)days, 5 cases (10.00%, 5/50), the death rate was higher than 70 cases without arrhythmia (16.22±2.79) days, and 2 cases (2.86%, 2/70)(t/χ^2=4.14, 4.03, P<0.05). Conclusion Arrhythmia is one of the complications of chronic pulmonary heart disease. It has adverse effects on prognosis. It has the characteristics of arrhythmia in chronic pulmonary heart disease and reasonable treatment to reduce the mortality of patients.

关 键 词：慢性肺源性心脏病 急性加重期 心律失常 临床特征 

分 类 号：R541.5[医药卫生—心血管疾病]