摘要
目的:分析慢性收缩期心力衰竭(CHF)死亡患者的病因和临床特点。方法:对本院2000-2002年共128例CHF死亡患者的临床资料,进行回顾性分析。结果:所有CHF死亡患者中,121例(94.53%)心功能为Ⅲ-Ⅳ级(NYHA)。冠心病是CHF死亡病人中最常见病因(64.06%),其次是心肌病(18.75%)和风湿性心脏病(10.15%)。各种心律失常均可发生。其中,最常见的是室性心律失常(78.90%),房性心律失常(60.93%)。另外,亦可发生多种电解质紊乱。结论:心功能、心律失常和电解质紊乱等是CHF患者死亡的主要危险因素,应及早干预。
Objective: To analyse the underlying heart diseases and clinical characteristics of the patients died from congestive heart failure (CHF). Methods: The clinical data of 128 patients died from CHF in hospitalization in 2000 -2002 were retrospectively analyzed. Results: Most of the CHF patients (94. 53%) were in class Ⅲ-Ⅳ of NYHA. The underlying heart disease of 128 patients were coronary artery disease (64. 06%), cardiomypathy (18. 75%) and rheumatic heart disease (10.15%). All kinds of arrhythmias can be recorded in these CHF patients, including ventricular arrhythmias (78. 90%),atrial arrhythmias ( 60. 93%). Conclusion: Levels of cardiac function, arrhythmias and electrolyte lesion were independent and important risk factors for CHF.
出处
《心血管康复医学杂志》
CAS
2004年第2期145-147,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
慢性收缩期
心力衰竭
死亡
病因
临床特点
Congestive heart failure
Death
Risk factors
Cardiac function
