老年性心力衰竭临床分析  

Clinical analysis of heart failure in elderly patients

作　　者：谢秀成[1] 黄仕洲[1] 冯新武[1] 苏良献[1] 

机构地区：[1]肇庆市第一人民医院心内科,广东肇庆526021

出　　处：《心血管康复医学杂志》2004年第2期147-149,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析老年患者心力衰竭的病因,以了解引起老年人心力衰竭的病因的变化。方法:回顾性分析186例首次入院的老年患者心力衰竭(NYHA 心功能Ⅱ-Ⅳ级)的病种及诱因,以临床表现、心电图、心脏超声、X-线心胸比(CTR)、生化指标、血常规等为检测指标进行分析。结果:引起老年患者心力衰竭前3位病因分别为冠心病(61.83%)、高血压(44.62%)、风湿性心脏病(10.22%),且患者常为2-3种疾病并存;心功能Ⅲ级者最常见,共94例(占50.54%),诱因以呼吸道感染(34.3%)最常见。结论:老年心衰患者的原发病常多种并存,呼吸道感染加重心力衰竭的程度。Objective: To analyze the primary ctiological factor of elderly heart failure patients in hospitalization and know the change of etiological factor of patients with elderly heart failure. Methods: The catalogue of diseases and predisposing causes were analyzed retrospectively in 186 cases of elderly heart failure (NYHA cardiac class Ⅱ-Ⅳ) patients hospitalized. The clinical feature, electrocardiogram, ultrasonic cardiogram. X-ray cardio-thoracic ratio, biochemical parameters and blood routine etc. were analyzed. Results: The prior three causes of elderly heart failure were coronary heart disease (61.83%), hypertension (44.62%) and rheumatic heart disease (10.22%). Usually there were 2-3 diseases at the same patient. Heart function class Ⅲ(94 cases, 50.54%) and respiratory tract infection (34. 3%) were common. Conclusion: Elderly heart failure patients commonly have several primary etiological factors and the respiratory tract infection aggravates the degree of heart failure.

关 键 词：老年 心力衰竭 病因 心功能分级 药物治疗 

分 类 号：R541.6[医药卫生—心血管疾病]