【摘要】 本文就我院老年病房因阵发性房颤住院或住院过程中出现阵发性房颤的45例病人进行分析。我们认为其病因以冠心病为主,其次为原因不明及病态窦房结综合征。本病除据情应用普鲁卡因酰胺、奎尼丁、乙胺碘呋酮、西地兰及异搏定等对症治疗外,进行定期的病因治疗及控制房性心律失常对预防复颤是十分重要的。更多还原

【Abstract】 76 attacks in 45 middle and elder patients with paroxysmal atrial fibrillation were analyzed in our geriatric wards from 1981 to 1985. We found that coronary heart disease is the most common cause of paroxysmal atrial fibrillation in middle and elder patients. Less common causes are S-A nodal syndrome and of unknown etiology. The pathological basis of atrial fibrillation are auricular ischemia, S-A nodal degeneration, decrease of nodal cells, fibrosis and fatty degeneration of conduction system for the treatment of this disease besides procainamide, quinidine, amiodarone, cedilanid, isoptin etc as symptomatic treatment, a regime of periodic etiological treatment and control of various kinds of atrial arrhythmia is of great importance for the prevention of its attack and the recurrence.更多还原