1767例住院成年心脏病人临床分析

Clinical Prevalence Various Organic Heart Diseases in Admitted 1767 Adult Cases

对1989—1992年间我院住院成年人各种心脏病1767例进行分析,其结果如下:1.各种心脏病的构成比以冠心病较多(33.4％),其次为风心病(17.6％)、肺心病(15.7％)、高心病(11.2％);2.随年龄增长患病率增高,青年组(17.4％),中年组(35.9％),老年组(46.7％);3.青年组风心病的患病率比其它各种心脏病高(37％),中老年组冠心病较高(29.2％、49.1％);4.老年组冠心病常合并1～5种其它疾病(33.6％);5.死亡率以青年风心病(8.8％)和中老年心肌病(12.8％、20％)较高。总死亡率依次为肺心病(27.5％)、冠心病(26.5％)、风心病(19.8％),本文还对风心病、冠心病的预防进行了讨论。

Admitted 1767 cases with various etiologic heart diseases during 1989-1992 were analysed. The features of prevalence in the heart diseases were as follows: 1. The incidences of individual heart disease indicated as coronary heart disease(CHD) 33.4%, rheumatic heart disease(RHD) 17.6%, Chronic cor-pulmonale(CCP) 15.7%, Hypertensive heart disease(HCD) 11.2%, other heart disease 22.1%; 2. The incidence gradually elevated with increasing the age. A group(13-39years) 17.4%, B group(40-50 years) 35.9% and C group(≥60years) 46.7%;3. The ineidence 37% of RHD in A group was the highest comparaed with that of other etiologic heart diseases, but the incidence of B group or C group among CHD was compararavely higher(29.2% and 49.1% respectively) , There were one-five kinds of complications or other diseases in C group of CHD(accounting as 136/405, 33.6%); 4. The mortality(8.8%) in A group RHD was the highest, while the mortality of primary cardiomyopathy was higher in B group or C group(12.8%, 20% respectively). The total death rate showed as follows: CCP(27.5%), CHD(26.5%) and RHD(19.8%).