对危重症冠心病临床特征的研究

A CLINICAL STUDY ON FITU RES OF CRITICAL CORONARY HEART DISEASE

对住院治疗的206例危重冠心病患者临床特征进行研究.结果提示危重冠心病临床特征是:1.危重冠心病有发病诱因者占81.55%.其中以呼吸道感染最多占58.33%.2.危重冠心病60岁以上老年人明显增加.3.危重冠心病与高血压有密切关系,并发高血压者占39.80%.4.危重冠心病多有严重室性心律失常占29.85%,快速房颤34.33%.5.危重冠心病心脏形态有明显改变者占50.49%;有轻度改变者占27.67%.而心脏形态正常者仅占22.82%.掌握危重症冠心病临床特征加强防治,可减少其发生,从而降低冠心病的病死率.

The present study was conducted of the clinical fitures of coronary heart disease among 206 hospitalized patients. The results were as following:1. 81. 55%. 2. of the patients with coronary heart disease in crisis had their induced factors, of which respiratory tract infections accounted for 58. 33%. 2. People over 60 years old were prone to suffer from critical cornary heart disease. 3. There was a close relationship between hypertension and critical coronary heart disease,with 39. 80% of the patients accompanied by hypertension. 4. Critical coronary heart disease was often accompanied by serious arrhythmia (i.e. 29. 85% of serious ventricular arrhythmia and 34. 33% of rapid atrial fibrillation.) 5. In heart size,there were marked changes in 50. 49% of the patients,mild changes in 27. 67% and normal in 22. 8%. It is suggested that the morbidity and fatality could be decreased by a better understanding of clinical fitures of the critical coronary heart disease,and then by careful prevention and prompt treatment.