摘要
目的:观察与分析老年人心房颤动的病因、特点及临床诊疗经验。方法:收治心房纤颤患者68例,对其临床资料进行回顾性分析。结果:老年心房颤动病因复杂,基础疾病依次为冠心病31例,高血压病17例,老年瓣膜病6例。心功能Ⅰ级15例,Ⅱ级35例,Ⅲ级11例,Ⅳ级7例。心房颤动患者血栓栓塞事件发生率为30.05%。老年心房颤动患者持续性房颤比率达73.22%。结论:老年人心房颤动常见原因是高血压病和冠状动脉粥样硬化性心脏病,血栓栓塞是房颤的重要并发症,抗凝治疗应得到重视。
Objective：To observe and analysis of elderly patienls with atrial fibrillation causes,characteristics and experience of clinical diagnosis and treatment. Methods：a retrospective analysis of 2009 -2011 in my hospital in alrial fibrillatinn patients with 68 cases of clinical data. Outcome of elderly patients with atrial fibrillation complicated etiulogy,underlying diseases were as follows 31 cases of coronary heart disease,hyperten- siun in 17 cases,6 cases of senile valve disease. Cardiac function class I in 15 cases, Ⅱ 35 eases, Ⅲ grade Ⅱ inverted, Ⅳ grade 7 inverted. Atrial fibrillation in patients with thrombnemhulie events occurred at a rate of 30. 05%. Atrial fibrillation in elderly patients with persistent atrial fibrillation rate 73.22%. Conclusion： elderly atrial fibrillathin and common causes of hypertension and coronary atherosclerotic heart disease, thromboembolism is atrial fibrillation are important complications, anticoagulant therapy should be emphasized.
关键词
老年人
心房颤动
临床分析
The elderly
Atrial fibrillation
Clinical analysis
