65岁以上老年心力衰竭185例诊治分析

Analysis of 185 diagnosis and treatment cases of senile heart failure over age of 65

目的探讨老年人心力衰竭临床诊断特点和治疗效果。方法对我院收治的185例65岁以上老年人心力衰竭患者临床特征及治疗经过进行分析。结果老年人心力衰竭存在多病因和诱因,病因以冠心病、肺心病、高血压病位居前三位;发病或加重病情的诱因主要是呼吸道感染。住院期间早期误诊致病情恶化10例,误诊率5.4%;治疗效果有效:151例(81.6%);无效:34例(18.4%),其中死亡18例(死亡率9.7%)。结论老年人心力衰竭患者基础疾病多,临床表现多不典型,易误诊,病死率高,须注意个体化治疗用药。

Objective To discuss the clinical diagnosis features and treatment effect of senile heart failure. Methods To analyze the clinical features and treatment process of the 185 cases of senile heart failure patients over the age of 65 received and cured by our hospital. Results Senile heart failure was caused by many etiological factors and incentives. The top three are coronary heart disease, pulmonary heart disease and hypertension disease; the main incentive of attack and aggravation was respiratory infection. During the hospitalization, there were 10 cases aggravated for the early misdiagnosis and the misdiagnosis rate was 5.4% ; Treatment effect ： 151 cases （ 81.6% ） were effective ; 34 cases （ 18.4% ） were ineffective, inclading 18 cases of death （mortality rate of 9.7% ）. Conclusions Senile heart failure patients have many underlying diseases and most of the clinical manifestations are not typical. It is prone to be misdiagnosed and the fatality rate is high. Therefore, attention shall be paid to the drugs for individual treatment.