慢性肺心病急性期并发心律失常59例临床分析

摘要

目的通过对慢性肺心病急性期并发心律失常发病机理、诱发原因、临床特点的分析，探讨准确及时处理和治疗方法。方法对2009年1月~2014年1月在我科住院130例慢性肺心病急性期并发心律失常59例的临床资料进行仔细分析和调查跟踪收集信息，探讨诱因和心律失常症状的效果分析。结果并发心律失常的59例患者均有肺部感染，说明感染是诱发和加重心律失常的主要原因。其次心衰越重并发心律失常原因越高，合并症中冠心病、肺脑等脏器损害也有较高的心律失常发生率。结论对肺心病心律失常病因、初诱因的治疗比抗心律失常治疗更为重要。%Objective Through the analysis,the pathogenesis of acute exacerbation of chronic pulmonary heart disease complicated with arrhythmia induced causes,clinical characteristics,to explore the accurate and timely method of treatment.Methods Analysis and investigation to collect information on tracking carefully clinical data from 2009 January to 2014 January in our hospital 130 cases of acute exacerbation of chronic pulmonary heart disease complicated with arrhythmia in 59 cases,analysis of the causes and ef ects of arrhythmia symptoms.Results Al the 59 patients with pulmonary infection.The infection is the main cause of inducing and aggravating cardiac arrhythmia.Secondly,the heavier heart failure complicated with arrhythmia causes higher,Coronary heart disease,cerebral and other organ damage patients also had a higher incidence of cardiac arrhythmias.Conclusion Treatment of pulmonary heart disease arrhythmia etiology,initial incentive is more important than antiarrhythmic therapy.