CAJ | 학술논문

目的：对心力衰竭患者死亡原因及影响因素进行探讨性分析。方法：133例患者是我院2008年2月至2012年2月心内科收治的，其中猝死的58例患者，心脏功能衰竭而死亡的75例患者。将两组进行左心室舒张末期内径、左心室射血分数及心功能分级等进行比较。结果：发生猝死的患者大多数心脏功能处于Ⅱ、Ⅲ级，而因心功能衰竭死亡的患者，大多数心脏功能处于Ⅳ级，发生猝死的患者和心功能衰竭死亡的患者，从左心室射血分数的指标进行比较，前者明显高于后者。结论：当患者的心功能处于Ⅱ、Ⅲ级时，易发生猝死；当患者的心功能处于Ⅳ级时，易发生心脏泵功能衰竭而死亡。
목적：대심력쇠갈환자사망원인급영향인소진행탐토성분석。방법：133례환자시아원2008년2월지2012년2월심내과수치적，기중졸사적58례환자，심장공능쇠갈이사망적75례환자。장량조진행좌심실서장말기내경、좌심실사혈분수급심공능분급등진행비교。결과：발생졸사적환자대다수심장공능처우Ⅱ、Ⅲ급，이인심공능쇠갈사망적환자，대다수심장공능처우Ⅳ급，발생졸사적환자화심공능쇠갈사망적환자，종좌심실사혈분수적지표진행비교，전자명현고우후자。결론：당환자적심공능처우Ⅱ、Ⅲ급시，역발생졸사；당환자적심공능처우Ⅳ급시，역발생심장빙공능쇠갈이사망。
Objective: To explore the analysis of the reason and influence factors of death in patients with heart failure. Methods: 133 patients in our hospital from 2008 February to 2012 is February admitted to Department of Cardiology, including 58 cases of sudden death in patients, 75 cases of heart failure and death of patients. The two group of left ventricular end diastolic diameter, left ventricular ejection fraction and heart function classification were compared. Results: the majority of cardiac function in Ⅱ, Ⅲ patients with sudden death, and death from heart failure patients, the majority of cardiac function in grade Ⅳ, death in patients with heart failure and sudden death patients, from a comparison of left ventricular ejection fraction index, the former is obviously higher than the latter. Conclusion: when the heart function of patients in Ⅱ, Ⅲ, prone to sudden death; when the cardiac function in grade Ⅳ, prone to heart pump failure and death.