30例老年人猝死原因分析

An analysis of the causes of sudden death in 30 elderly patients

本文对３０例老年人猝死原因进行了分析，其中心源性猝死１５例、肺源性猝死１５例，在猝死的原因中除了严重心律失常外，明显提示长期反复出现ＳＴ－Ｔ异常或因稍劳累、情绪激动等诱因即出现心绞痛而发生猝死，这一点临床应当引起足够重视。其次，在肺源性猝死中应特别注意长期卧床患者，若突然出现一侧下肢肿胀，病情进展迅速，应考虑肺动脉栓塞发生的可能，积极预防，必须抗凝治疗及加强护理。

Causes of sudden death in 30 old patients were analyzed in this paper. 15 patients had serious arrhythmia with repeated appearance of abnormal ST-T waves for a long time in the past. Their sudden death was often precipitated after some sort of physical fatigue, emotional agitation in accompaniment of premortem angina pectoris. The death was of cardiogenic origin withourt doubt. The other 15 patients had various pulmonary diseases with different degree of cadiopulmonary insufficiency,or having undergone recent operation and 1 had definite history of trauma in the groin, but they were mostly bed-ridden for a long time. 5 of them were autopsied revealing pulmonary thrombotic embolism.Whenever sudden swelling of lower extremity with hampered venous return of the femoro-iliac vein, one should be aware of the possible occurence of the lethal accident and extraction of the thrombus might be indicated. Anyway long bed-ridden old patient would be the promoting factor in the development of this horrible complication. Highlights of wholesome preventive measures and sound nursing care of the above aged patients were emphasized in this report.