【摘要】 目的分析心房颤动住院患者的病因,临床分类和治疗等有关情况。方法对我院2000年1月~2003年12月住院的596例心房颤动患者的临床资料进行回顾性分析。结果阵发性房颤、持续性房颤及持久性房颤分别为18.79%、9.9%、71.31%。97.65%患者患有器质性心脏病,其中风湿性心脏病48.99%、高血压性心脏病16.94%、冠心病14.09%、肺心病10.23%。心功能Ⅲ~Ⅳ级者57.72%。持久性房颤较之阵发性房颤左房内径明显增大[(57.73±13.02)mm;(33.82±8.23)mm,P<0.01)],射血分数亦明显降低[(61.72±13.69)%;(73.26±11.93)%,P<0.01]。结论本组的分析表明,风湿性心脏病、高血压性心脏病、冠心病和肺心病是房颤的主要原因。但抗凝药服用率低,防治脑卒中的措施亟待加强。更多还原

【Abstract】 Objective To explore the pathogenic factors,clinical grade and treatment of atrial fibrillation(AF).Methods The data of596cases with atrial fibrillation were analyzed retrospectively.Results The paroxysmal AF,permanent AF and persistent AF accounted for18.79%,9.9%and71.31respectively.The cases with organic cardiopathy accounted for97.65%,including organic cardiopathy(48.99%),hypertensive cardiopathy(16.94%),coronary heart disease(14.09%)and pulmonary heart disease(10.23%).The cases with cardiac function of grade III～IV accounted for57.72%.The left atrium of left atrium increased and the ejection fraction decreased obviously.Conclusions The organic cardiopathy,hypertensive cardiopathy,coronary heart disease and pulmonary heart disease are the main disease caused the atrial fibrillation.The administrator rate of anticoagulation medicine is low.The means preventing from the cerebral apoplexy should be improved.更多还原