心内科老年患者院内后期猝死的临床原因分析

摘要

目的：分析心内科老年患者院内后期猝死的临床原因。方法回顾性分析21例患者病案。结果基础心率≥80次/min者占61.90%；急性心肌梗死占42.85%；发生时间：入院1～3周占71.43%，18：00～24：00占23.81%、24：00～6：00占28.57%，有心源性猝死病史占38.10%。结论心内科老年患者院内后期猝死原因较复杂，与心脏基础疾病、伴随疾病、生理特征变化等因素有关，应做好风险预测工作，重视高风险人群疾病管理。%Objective Analysis clinical causes of elderly patients sudden death in cardiology department. Methods Retrospective analysis of 21 cases of patients with medical records. Results Basic heart rate was more than or equal to 80 times per minute, accounting for 61.90%, 42.85% of acute myocardial infarction, admission 1~3 weeks occurred accounted for 71.43%, 18:00~24:00 point occurs accounting for 23.81%, 24:00 ~ 6:00 28.57%, with cardiogenic sudden death disease accounting for 38.10%. Conclusion Patients in the department of cardiology institute in late sudden death and the causes are complex, with underlying heart disease, with disease and physiological characteristics changes and other factors should make risk prediction work, pay attention to the disease management of high risk population.