摘要
目的探讨慢性肺源性心脏病(肺心病)心律失常的特点及处理。方法对105例肺心病合并心律失常患者临床资料进行回顾性分析。结果多数出现一种心律失常类型,但也有不少患者同时或先后出现两种及两种以上类型的心律失常,共达126例次。其中室上性心律失常68.25%(86/126)、室性心律失常14.29%(18/126),传导阻滞17.46%(22/126),以右束支传导阻滞多见,占9.52%。大部分合并感染、缺氧、电解质紊乱,心衰程度与心律失常发生率明显相关。结论肺心病急性加重期心律失常以激动起源异常多见,感染、缺氧、电解质紊乱和心衰是诱发的常见因素。积极治疗原发病及诱因是治疗重点,抗心律失常药物不是治疗肺心病心律失常的主要手段。
Objective To explore the clinical characteristics and therapeutic measures for treatment of arrhythmia in patients with chronic cor pulmonale.Methods Clinical data of 105 cases of chronic cor pulmonale with arrhythmia were retrospectively reviewed and analyzed.Results Only single type of arrhythmia happened in most of these patients,but two or more types of arrhythmia might simultaneously occur in some of them during early or later stage of the disease.A total of 126 times of attacks including supraventricular arrhythmia in 68.25%（86/126）,ventricular arrhythmias in 14.29%（18/126） and conduction block in 17.46%（22/126） were happened in these patients.Right bundle-branch block appeared more frequently,it occupied 9.52% cases of conduction block.Most of these cases were complicated with concurrent infection,anoxia,electrolyte disturbances and congestive heart failure,and these factors were closely concerned with arrhythmogenesis.Conclusion In acute exacerbation stage of patients with cor pulmonale,arrhythmia is frequently originated by impulse,and infection,anoxia,electrolyte disturbances and congestive heart failure are common inducing factors.The key of treatment is active control of primary disease and inducing factors,and anti-arrhythmic drugs are not main measure for treatment of arrhythmia in patients with chronic cor pulmonale.
出处
《临床和实验医学杂志》
2011年第3期170-171,共2页
Journal of Clinical and Experimental Medicine
