优化老年患者快速型心房纤颤心室率控制治疗流程  

To optimize the treatment process of ventricular rate control in elderly patients with rapid atrial fibrillation

作　　者：李小强 张万霞 张慧莹 张冰 刘杰 LI Xiao-qiang;ZHANG Wan-xia;ZHANG Hui-ying;ZHANG Bing;LIU Jie(Department of Geriatrics,Xuangang hospital,Hebei Zhangjiakou 075100,China)

机构地区：[1]河北省张家口宣钢医院老年病科,河北张家口075100

出　　处：《临床医药文献电子杂志》2020年第46期4-4,26,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的总结优化老年患者快速型心房纤颤心室率控制治疗流程措施。方法回顾性分析我院2014年1月~12月,共治疗老年快速型心房纤颤患者38例的临床资料。将患者依据基础疾病分为非急性心肌梗死组和急性心肌梗死组,非急性心肌梗死组又分为无并发症组、合并心力衰竭组、合并心源性低血压及休克三个亚组。对不同亚组患者采用不同的药物治疗,观察治疗效果。结果本次研究中有1例死于消化道大出血外,均抢救成功,无心脏停搏的发生。结论老年患者的心肌储备能力下降,一旦伴发快速心室率时,会出现心力衰竭和心源性休克,成为急需救治的心血管内科急症,规范救治流程成为抢救成功的关键。Objective To summarize and optimize the treatment of ventricular rate control in elderly patients with rapid atrial fibrillation.Methods The clinical data of 38 elderly patients with rapid atrial fibrillation from January to December 2014 were analyzed retrospectively.The patients were divided into non acute myocardial infarction group and acute myocardial infarction group according to the basic diseases.The non acute myocardial infarction group was divided into three subgroups:non complication group,combined with heart failure group,combined with cardiogenic hypotension and shock.Patients in different subgroups were treated with different drugs to observe the therapeutic effect.Results In this study,one patient died of massive hemorrhage of digestive tract,all of them were rescued successfully,without cardiac arrest.Conclusion The elderly patients'myocardial reserve capacity decreased,once accompanied by rapid ventricular rate,there will be heart failure and cardiogenic shock,which becomes an urgent cardiovascular emergency,and standardized treatment process becomes the key to the success of rescue.

关 键 词：快速型心房纤颤 心室率 治疗流程 

分 类 号：R541[医药卫生—心血管疾病]