分析心内科老年患者治疗期间心源性猝死的临床病因

Analysis of clinical etiology of sudden cardiac death in senile patients during treatment in department of cardiology

目的探讨分析心内科老年患者治疗期间心源性猝死的临床病因。方法 51例心内科发生心源性猝死的老年患者,结合患者自身病例资料做数据量化分析,探讨心源性猝死的病因。结果心内科老年患者治疗期间心源性猝死临床病因复杂,其原发病影响因素主要为冠心病、风湿性心脏病等;临床影响因素则主要包括情绪激动、剧烈性运动、吸烟、饮酒等不良行为因素;患者主要发病时间集中在入院治疗的第2、3周内(66.67%),患者发病多集中在夜间,特别在0:00后猝死达43.14%,患者发病进展死亡均处于极短时间内(<60 min)。结论心内科老年患者主因冠心病、心脏病加之危险诱发因素造成治疗期间心源性猝死,为此在临床预防护理期间需重视患者原发病风险评估,对诱发因素进行控制。

Objective To investigate and analyze clinical etiology of sudden cardiac death in senile patients during treatment in department of cardiology. Methods A total of 51 senile patients with sudden cardiac death in department of cardiology all received quantitative analysis of data in accordance with their medical cases to investigate causes of sudden cardiac death. Results Sudden cardiac death in senile patients during treatment in department of cardiology contained complex clinical etiology, and the main influencing protopathy factors included coronary heart disease and rheumatic heart disease, while main clinical factors included motion incitation, strenuous exercise, smoking and alcohol drinking. Main disease time was in 2, 3 weeks of hospitalized treatment（66.67%）, especially in midnight with sudden death rate as 43.14% after 0：00. Disease progress and death in patients all happened in extremely short time period（60 min）. Conclusion Sudden cardiac death in senile patients during treatment in department of cardiology is mainly caused by coronary heart disease and heart disease complicated with risk inducing factors. Therefore, cautious attention on risk evaluation of protopathy during clinical prevention and nursing can control inducing factors.