论文部分内容阅读
目的:探讨肺心病心律失常的临床特征及治疗原则。方法:本组病例总共136例,全部于入院后48h内通过24h心电监护或反复常规12导联心电图检查,及时地发现心律失常类型并加以分析。结果:本组肺心病患者合并心律失常率达67.64%(92例),其心律失常类型以房性心律失常最多,占42.08%,其次为窦性心动过速及室性心律失常。严重心律失常如室上性心动过速、多源室早、房室传导阻滞、房扑等也常出现。心律失常的出现及严重程度与患者病情的严重程度相关性明显,如心衰程度、肺部感染、低氧血症、水电解质紊乱等密切相关。结论:肺心病心律失常发生率较高,且与肺心病患者病情严重程度密切相关,而心律失常治疗应通过积极的病因及合并症治疗,使用抗心律失常药物不是最佳办法。
Objective: To investigate the clinical characteristics and treatment principles of pulmonary heart disease arrhythmia. Methods: A total of 136 cases of this group of patients, all within 48h after admission by 24h ECG or repeated routine 12-lead ECG examination, timely detection of arrhythmia type and analysis. Results: The incidence of arrhythmia in patients with pulmonary heart disease was 67.64% (92 cases). The most frequent arrhythmia type was atrial arrhythmia, accounting for 42.08%, followed by sinus tachycardia and ventricular arrhythmia. Serious arrhythmias such as supraventricular tachycardia, multi-source room early, atrioventricular block, atrial flutter, etc. are also often appear. The incidence and severity of arrhythmia were significantly correlated with the severity of the patient’s condition, such as the degree of heart failure, pulmonary infection, hypoxemia, water and electrolyte imbalance and so on. Conclusion: The incidence of arrhythmia of pulmonary heart disease is high, and it is closely related to the severity of pulmonary heart disease. Arrhythmia treatment should be treated by active etiology and complications. Antiarrhythmic drugs are not the best method.