中老年猝死病例的临床分析

Clinical Analysis of Sudden Deaths of Middle-aged and Old People

对47例中老年猝死病例的临床资料进行分析。本组病例提示:(1)老年早期、男性冠心病患者,并急性或陈旧性心肌梗死或其他原因所致心室电不稳定者,应视为猝死的高危个体;(2)急性心肌梗死是猝死的最常见原因;(3)避免诱因是预防发生猝死的关键;(4)应高度重视猝死的先兆症状;(5)应高度警惕老年心脏病患者的猝死,不能认为安静状态和睡眠时间是“安全”时间,不出病房是“安全”地点。值班护士查房和巡视是发现病情的主要途径。

Through analyzing retrospectively the clinical data of sudden deaths of 47 middle-aged and old people, we concluded： （1）The high-risk individuals cover those male old patients with early coronal artery disease, complicated with acute or obsoletemyocardial infarction, or with unstable electricity in ventricles from unidentified reasons. （2）Acute myocardial infarction results insudden death most frequently. （3）The key prevention of sudden death existing in stripping away the remote causes. （4）Thepresymptoms should be attached great importance to. （5）We should pay great attention to the sudden death of old patients with heartdiseases, never considering their quiet station and sleeping time as time of safety and the wards as safe places. The duty nurses serveas the main approach to find the onset of sudden death at circuit check.