【摘要】 目的观察与分析老年人心房颤动的病因、临床特点和抗凝治疗的状况。方法选择2003—2008年在我院住院的心房纤颤患者136例,年龄>65岁,观察心电图、动态心电图、超声心动图及甲状腺功能的血清学检查等,对患者的临床资料进行回顾性分析。结果老年心房颤动病因复杂,多数伴有基础疾病或全身其它疾病。基础疾病依次为:冠心病61例(44.93%),高血压病35例(25.73%),老年瓣膜病13例(9.56%)。老年心房颤动患者持续性房颤比率达74.56%。心房颤动患者血栓栓塞事件发生率为31.26%。结论老年人心房颤动常见原因是冠心病、高血压性心脏病。老年心房颤动患者持久性房颤比率高。血栓栓塞是房颤的重要并发症,抗凝治疗应得到重视。更多还原

【Abstract】 Objctive To observe and analyze the etiology,clinical characteristics and treatment of anticoagulation of artrial fibrilation(AF) in the elderly.Methods Total 136 hospitolized patients age over 65 with atrial fibrillation were analysed,ECG,Holter,ultrasonography and serum levels of thyroid function were observed.Results Etiological factors of AF in the elderly were complicated.There were foundmental disease or systemic disease in most of them.Foundmental disease included coronary heart disease,hypertension and elderly valve disease,etc.The permanent AF were common in the elderly.Arise rate of thrombosis was higher in atrial fibrillation.Conclusion The main causes of atrial fibrillation in the elderly were coronary heart disease,hypertension.The perment atrial fibrillation.Treatment of anticoayultion should be emphasized.更多还原