200例房间隔缺损围术期心律失常的分析  

Investigation / or analysis of arrhythmias during perioperative period in 200 atrium septal defect patients

作　　者：熊玲香[1] 王曙红[1] 

机构地区：[1]中南大学湘雅医院心胸外科,湖南长沙410008

出　　处：《中国现代医学杂志》2004年第4期120-121,123,共3页China Journal of Modern Medicine

摘　　要：目的　观察不同年龄组房间隔缺损患者围术期心律失常发生情况。方法　采用回顾性分析 ,对该院近 5年来 2 0 0例继发孔房间隔缺损患者的围术期心律失常按年龄阶段分析。结果　发现继发孔房间隔缺损病人术前心律失常随年龄的增长而增加 ,右束枝传导阻滞最常见 ,30岁以上的患者中窦性心动过缓较常见。术后各年龄组心律失常的发生均有明显增加 ,尤以心动过速最为常见 ,在 30岁以上组患者中 ,出现窦性心动过缓及室性早搏的病人更多。术前存在的心律失常在术后仍有相似的心律失常出现。结论　 30岁以上病人心律失常的发生在术前术后均比其它年龄组多 ,术后窦性心动过缓及室性早搏的发生明显增多。有效的围术期护理可消除病人紧张与焦虑心理 ,及时发现并处理心律失常。Objective: To investigate the arrhythmias of atrium septal defect (ASD) during perioperative period.Methods: Using retrospective analysis, arrhythmias of 200 atrium septal defect patients of our hospital in the latest 5 years were studied.Results: It revealed that with the age increased frequency of arrhythmia occurrence increased. Right bundle branch block were more common in the patients and bradycardia were more common in up 30 years old patients before operation. Arrhythmias occurred more frequently in all groups afteroperation. Tachycardia is the most common. However higher occurrence of bradycardia and ventricular extrasystole was observed in up 30 years old group patients.Conclusions:In up 30 years old group, higher occurrence of arrhythmias was found, and bradycardia and ventricular extrasystole were more common. To relive the tension and anxiety of patients and to defect and treat arrhythmias in time would be helpful during nursing care.

关 键 词：房间隔缺损 心律失常 护理 

分 类 号：R541.7[医药卫生—心血管疾病]