中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
24期
71-73
,共3页
慢性肺源性心脏病%心律失常
慢性肺源性心髒病%心律失常
만성폐원성심장병%심률실상
Chronic pulmonary heart disease%Arrhythmia
目的：对慢性肺源性心脏病并发心律失常的临床特征、发作类型和病因进行观察分析。方法收集开封市中心医院2009年5月至2013年5月收治的慢性肺源性心脏病患者193例进行24 h 心电监护或反复常规12导联心电图检查。发现并发心律失常120例，未并发心律失常73例，对所有患者进行常规治疗，观察心律失常类型和并发症发生情况。结果在193例慢性肺源性心脏病患者中有120例并发心律失常，其中窦性心动过速52例，房室早搏26例，房性心动过速11例，心房颤动10例，室性早搏 6例，右束支传导阻滞4例，左束支传导阻滞3例，房室传导阻滞3例，心房扑动5例；心律失常患者并发肺部感染、心力衰竭、低氧血症、电解质紊乱及酸碱平衡失调发生率均高于未并发心律失常患者，差异有统计学意义（P <0.05）。结论慢性肺源性心脏病并发心律失常比例较高，以窦性心律过速和房室早搏较多，其常见诱因为肺部感染、低氧血症、心力衰竭、电解质紊乱等，给予相应治疗可有效降低慢性肺源性心脏病并发心率失常发生率。
目的：對慢性肺源性心髒病併髮心律失常的臨床特徵、髮作類型和病因進行觀察分析。方法收集開封市中心醫院2009年5月至2013年5月收治的慢性肺源性心髒病患者193例進行24 h 心電鑑護或反複常規12導聯心電圖檢查。髮現併髮心律失常120例，未併髮心律失常73例，對所有患者進行常規治療，觀察心律失常類型和併髮癥髮生情況。結果在193例慢性肺源性心髒病患者中有120例併髮心律失常，其中竇性心動過速52例，房室早搏26例，房性心動過速11例，心房顫動10例，室性早搏 6例，右束支傳導阻滯4例，左束支傳導阻滯3例，房室傳導阻滯3例，心房撲動5例；心律失常患者併髮肺部感染、心力衰竭、低氧血癥、電解質紊亂及痠堿平衡失調髮生率均高于未併髮心律失常患者，差異有統計學意義（P <0.05）。結論慢性肺源性心髒病併髮心律失常比例較高，以竇性心律過速和房室早搏較多，其常見誘因為肺部感染、低氧血癥、心力衰竭、電解質紊亂等，給予相應治療可有效降低慢性肺源性心髒病併髮心率失常髮生率。
목적：대만성폐원성심장병병발심률실상적림상특정、발작류형화병인진행관찰분석。방법수집개봉시중심의원2009년5월지2013년5월수치적만성폐원성심장병환자193례진행24 h 심전감호혹반복상규12도련심전도검사。발현병발심률실상120례，미병발심률실상73례，대소유환자진행상규치료，관찰심률실상류형화병발증발생정황。결과재193례만성폐원성심장병환자중유120례병발심률실상，기중두성심동과속52례，방실조박26례，방성심동과속11례，심방전동10례，실성조박 6례，우속지전도조체4례，좌속지전도조체3례，방실전도조체3례，심방복동5례；심률실상환자병발폐부감염、심력쇠갈、저양혈증、전해질문란급산감평형실조발생솔균고우미병발심률실상환자，차이유통계학의의（P <0.05）。결론만성폐원성심장병병발심률실상비례교고，이두성심률과속화방실조박교다，기상견유인위폐부감염、저양혈증、심력쇠갈、전해질문란등，급여상응치료가유효강저만성폐원성심장병병발심솔실상발생솔。
Objective To observe the clinical features,types and pathogenesis of patients with chronic pulmonary heart disease complicated with arrhythmia. Methods One hundred and ninety-three patients with chronic pulmonary heart disease were enrolled from May 2009 to May 2013. 24 h ECG mo-nitor and repeated 12 - lead ambulatory electrocardiogram were carried out. One hundred and twenty pa-tients complicating arrhythmia were found. All patients underwent conventional treatment,and types and complications of arrhythmia were investigated. Results Among the 193 patients,120 cases were compli-cated with arrhythmia,and there were 52 cases of Sinus tachycardia, 26 cases of atrial premature contraction,11 cases of atrial tachy-cardia,10 cases of atrial fibrillation,6 cases of ventricular premature contraction,4 cases of right bundle branch block,3 cases of left bundle branch block,3 cases of atrioventricular block,5 cases of atrial flut-ter. The incidence of pulmonary infection,heart failure,hypoxemia,electrolyte imbalance and acid-base disorders were higher in arrhythmia patients than that in patients without arrhythmia(P < 0. 05). Con-clusions There is high proportion of patients with chronic pulmonary heart disease complicated with ar-rhythmia,such as sinus tachycardia and atrial/ ventricular premature contraction. Lung infections,hypox-ia,heart failure and electrolyte imbalance are common inducing factors,therefore,chronic pulmonary heart disease complicated with arrhythmia may be ameliorated under appropriate treatment.
