摘要
目的 :进一步探讨中老年人猝死的危险因素 ,以降低猝死率。方法 :采用回顾性分析方法 ,对符合 WHO猝死诊断标准 80例中老年人猝死患者的危险因素进行分析。结果 :80例中老年人猝死患者中 ,猝死于心血管病者 40例(5 0 % ) ,其中冠心病 2 8例 (急性心肌梗死并复杂性室性心律失常 10例、房颤或并高度房室传导阻滞 4例 ,急性左心衰竭型 7例 ,心绞痛型并高血压、左室肥厚 3例 ,隐匿型伴左室肥厚 4例 ) ,脑血管病 15例 (18.75 % ) ,原因不明者10例 (12 .5 % ) ,恶性肿瘤 7例 (8.75 % ) ,风湿性心脏病 5例 (6 .2 5 % ,合并房颤 2例 ) ,糖尿病并感染 5例 (6 .2 5 % ) ,慢支并感染、电解质紊乱 3例 (3.75 % ) ,先天性心脏病 3例 ,慢性肺源性心脏病 2例 ,肥厚型心肌病和心肌炎各 1例。结论 :本组结果提示冠心病、严重心律失常、高血压、脑血管病等是中老年人猝死的主要危险因素。
Objective:To explore the risk factor of sudden death in middle-aged and aged persons.Methods:Retro-analysis method was performed.Results:The causes of sudden death were cardiovascular disease mainly(n=40,50%),in which number of patients with coronary heart disease was 28(acute myocardial infarction complicated complex ventricular arrhythmia 10 cases,atrial fibrillation 4 cases,acute left heart failure 7 cases);cerebrovascular disease(n=15,18.75%);unknown cause 10 cases.Conclusion:The results suggest coronary heart disease,serous arrhythmia,hypertension,cerebrovascelar disease were mainly risk factor of sudden death in middle-aged and aged persons.
出处
《心血管康复医学杂志》
CAS
2002年第1期29-30,共2页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
中老年人
猝死
危险因素
Middle-aged and aged persons
Sudden death
Risk factor