目的:探讨慢性阻塞性肺病伴心律失常的临床特征及治疗措施。方法:对我院2009年8月~2011年10月收治的慢性阻塞性肺病伴心律失常患者78例的临床资料进行回顾性分析,总结患者的临床特点。将患者按照随机数字表分为两组,对照组给予常规治疗,实验组在常规治疗基础上给予艾司洛尔,观察治疗效果。结果:78例患者中,室上性心律失常32例,室性心律失常27例,传导阻滞19例。两组患者经过我院治疗心律失常症状均有缓解,其中实验组患者治疗效果更好,与对照组患者比较有显著差异。结论:慢性阻塞性肺病伴心律失常是临床较为常见的疾病,需要医生高度重视,艾司洛尔在治疗此疾病中有较高的临床应用价值。 Objective: To investigate the clinical characteristics and treatment of chronic obstructive pulmonary disease with arrhythmia. Methods: The clinical data of 78 patients with chronic obstructive pulmonary disease and arrhythmia admitted from August 2009 to October 2011 in our hospital were retrospectively analyzed. The clinical features of the patients were summarized. The patients were divided into two groups according to the random number table. The control group was given routine treatment. The experimental group was given esmolol on the basis of routine treatment, and the treatment effect was observed. Results: Of the 78 patients, 32 were supraventricular arrhythmias, 27 were ventricular arrhythmias, and 19 were conduction block. Two groups of patients through our hospital treatment of arrhythmia symptoms were relieved, of which the experimental group patients with better treatment, compared with patients in the control group were significantly different. Conclusion: Chronic obstructive pulmonary disease with arrhythmia is a relatively common clinical disease, which requires doctors to attach great importance to esmolol in the treatment of this disease has a high clinical value.