目前老年病人心力衰竭原发病分析

Primary etiological factor analysis of heart failure in elderly patients

目的 分析老年 (6 5岁以上 )患者因心力衰竭住院的原发病因 ,以了解近年来引起老年人心力衰竭的病种的变化。方法 回顾性分析 2 2 8例首次入院的老年患者心力衰竭 (NYHA心功能Ⅱ～Ⅳ级 )的病种及诱发心衰原因 ,以临床表现、心电图、心脏超声、X线心胸比 (CTR)、生化指标、血常规等为检测指标进行分析。结果 引起老年患者心力衰竭前三位原发病分别为冠心病 (6 1% )、高血压 (4 6 5 % )、风湿性心脏病(10 5 % ) ,且患者常为 2～ 3种疾病并存 ,心功能Ⅲ级最常见 ,共 113例 (4 9 5 6 % ) ,诱因以呼吸道感染 (34 3% )最常见。结论 老年心衰患者的原发病常多种并存 ,呼吸道感染常是诱发或加重心力衰竭的重要原因。

Objectives To analyze the primary etiological factors of elderly patients (≥65 years old) in hospitalization. Methods Two hundred and twenty eight elderly patients hospitalized with heart failure, we analyzed the causes with clinical features, electrocardiograph, ultrasonic cardiogram, X ray, et al of these patients. Results The prior three causes of elderly heart failure were coronary hart disease (61%), hypertension(46 5%) and rheumatic heart disease (10 5%). Usually there were 2～3 diseases at the same patient. NYHA Ⅲ heart function class and infection of respiratory system were common. Conclusions Elderly patients with heart failure have several primary etiological factors and infections of respiratory system made the heart dysfunction severe.