阵发性房颤54例临床分析

Clinical Analysis of 54 Cases with Paroxydmal Atrial Fibrillation

目的:进一步认识阵发性房颤的临床特征。方法:回顾性分析54例阵发性房颤的临床资料。结果:54例阵发性房颤中,其中器质性心脏病占19例,约占阵发性房颤的35%,风心病9例,冠心病5例,心肌病2例,心肌炎2例,糖尿病1例,与血清肾上腺素水平增高有关。非器质性心脏病35例,约占阵发性房颤的65%,肥胖、高甘油三脂18例,酒精中毒11例,情绪激动3例,运动后3例,与迷走神经张力增高有关。结论:在阵发性房颤中,无器质性心脏病的中青年占绝大多数(又称孤立性房颤),通常与迷走神经张力增高有关,经休息、消除诱因、改善不良饮食习惯有所减轻。器质性心脏病占比例虽少,与肾上腺素增高有关,但预后较差,大多数可转变为慢性心房纤颤。

Objective The purpose knows the clinical characteristic of a hair building vibrate further.Methods Review analyzes 54 clinical data of the hair building vibrates.Results 54 hair building vibrates,among them,the machine quality heart attack have 19,accounting for 35% of a hair building vibrate around,the breeze secret concern is 9,the coronary is 5,the myocardial disease is 2,the myocarditis is 2,the diabetes is 1,having something to do with adrenaline increasing highly.The non-machine quality heart attack i...