内科心脏病老年患者院内中后期猝死的临床原因分析

Clinical Reason Analysis of the Sudden Death in the Middle and Later Periods of the Elderly Patients with Heart Disease in Medical Department

目的:探讨心内科老年患者院内中后期猝死的临床原因。方法:选取某院内科2010年8月~2016年7月所收治心脏病老年患者248例,男性126例,女性122例,其中发生猝死患者26例,男性14例,女性12例,猝死率10.5%,对其临床资料进行回顾性分析。结果:猝死患者主要死亡原因包括高血压心脏病、冠心病、心肌病、肺心病、风心病,分别是9例(34.62%)、5例(19.23%)、4例(15.38%)、5例(19.23%)、3例(11.54%)。结论:据本次相关研究分析,内科心脏病老年患者院内中后期猝死的主要原因是高血压性心脏病、冠心病、心肌病、肺心病、风心病,对于一些长期心脏基础疾病史、因同一种疾病反复住院患者,伴有多种合并症患者,需重点监测,客观分析,提供预见性治疗,加强监护,以积极降低猝死率。

Objective：To investigate the clinical reasons of sudden death of elderly patients in the middle and later period in the department of cardiology.Methods：248cases of elderly patients with heart disease treated in the medical department of a hospital from August 2010 to July 2016,among which,there were 126 male,and 122 female.There were 26 cases of sudden death,14 males and 12 females,and the sudden death rate was 10.5%.The clinical data were retrospectively analyzed.Results：The major causes in this group of sudden death included hypertensive heart disease,coronary heart disease,cardiomyopathy,pulmonary heart disease,rheumatic heart disease,respectively were 9cases（34.62%）,5cases（19.23%）,4cases（15.38%）,5cases（19.23%）,3cases（11.54%）.Conclusion：According to this research analysis,the main reason of sudden death of the elderly patients with heart disease in the hospital in the middle and later period medical are hypertensive heart disease,coronary heart disease,cardiomyopathy,pulmonary heart disease,rheumatic heart disease.The patients who have long-term history of heart disease,and the hospitalized patients with the same disease,and who have many complications,need intensive monitoring,objective analysis,predictability treatment,intensive care to actively reduce the sudden death rate.