386例慢性充血性心力衰竭临床分析

Clinical analysis of 386 patients with congestive heart failure

目的探讨386例慢性充血性心力衰竭（CHF）患者的临床特点。方法回顾性埘386例CHF患者进行临床分析．主要从CHF的病因、发病年龄、发病诱因及死亡等方面进行分析。结果高龄易发生CHF（90．1％），冠心病是CHF主要病因（54．1％），其次是高疵压心脏病（20．7％），风湿性心脏病（8.3％）及肺心病（8．3％）。感染是CHF发病的主要诱因（60．1％），其次是劳累（15．5％）及精神情绪因素（6．74％）。结论年龄越大，越易发生CHF。冠心病，高血压是发生CHF的主要病因，感染是CHF的主要诱因。

Objective To investigate clinical characteristics of 386 cases with congestive heart failure （CHF）. Methods W.e retrospectively analyzed clinical features of 386 patients with CHF. Their causes of CHF, age, inducing factors and causes of death were analyzed. Results The advanced age was very easily inducing CHF （90.1%）. Major causes of CHF were coronary heart disease （54.1%）, hypertension（20.7%）, rheumatic heart diseases（8.3%） and puhnonary heart disease（8.3%）. Infection was major inducing factors of CHF （60. 1%）.Overworlked （15.5%） and spirit moodinness （6.74%） was secondary cause of CHF. Conclusion The advanced age was proved to be a higher risk factor of developing CHF. The major causes with CHF were coronary heart disease and hypertension. Infection was major inducing factors of CHF.