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目的探讨心内科老年患者治疗期间心源性猝死的临床病因。方法选取2013年4月至2016年4月辽宁鞍山海城市中心医院心内科收治的70例老年心源性猝死患者作为研究对象,回顾性分析患者的临床资料,总结与记录患者发生心源性猝死的病因、危险因素及病死时间。结果导致心内科患者心源性猝死的主要病因为CHD,其次为高血压心脏病;诱发心内科患者心源性猝死的主要危险因素为情绪激动、剧烈运动;患者入院2~3周内,猝死45例,猝死率64.3%;心内科患者夜间猝死率明显高于白天,差异有统计学意义(P<0.05)。结论诱发心内科老年患者治疗期间发生心源性猝死的因素非常多,病因以CHD为主,危险因素以情绪激动、剧烈运动为主。
Objective To investigate the clinical etiology of sudden cardiac death during the treatment of elderly patients in cardiology department. Methods From April 2013 to April 2016, 70 cases of sudden cardiac death in the elderly admitted to Department of Cardiology, Haicheng Central Hospital of Anshan, Liaoning Province were selected as the research object. The clinical data of the patients were retrospectively analyzed. The incidence of sudden cardiac death The etiology, risk factors and duration of illness. Results The main cause of sudden cardiac death in cardiology patients was CHD, followed by hypertensive heart disease. The main risk factors for sudden cardiac death in cardiology patients were agitation and strenuous exercise. Within 2 to 3 weeks after admission, the patients died of sudden cardiac death 45 cases, the sudden death rate was 64.3%; cardiac patients at night was significantly higher than the rate of sudden death at daytime, the difference was statistically significant (P <0.05). Conclusion There are many factors that cause sudden cardiac death during the treatment of elderly patients in cardiology department. The main cause of the disease is CHD, and the risk factors are emotional and vigorous exercise.