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1973年~1983年我院内科住院总人数为18166人,其中风心病为1131人,占6.2%;死亡130人,风心病人住院病死率为11.5%。现就主要原因讨论如下:充血性心力衰竭:充血性心力衰竭是风心病死亡的首要原因(47.7%)。晚期患者多为顽固性心力衰竭,故加强对心衰的防治是降低病死率的重要措施。首先要注意去除导致心衰的诱因。从本文130例中,并发症以心律失常、感染、电解质紊乱最常见,其次为风湿活跃、洋地黄过量、感染性心内膜炎。这些诱因不去除,心衰则不
From 1973 to 1983, the total number of inpatients in our hospital was 18,166, of which 1131 were rheumatic heart disease (6.2%), 130 were fatal, and the in-hospital mortality rate of rheumatic heart disease was 11.5%. Now on the main reasons for the discussion are as follows: Congestive heart failure: Congestive heart failure is the leading cause of death of rheumatic heart disease (47.7%). Late patients are mostly refractory heart failure, so strengthening the prevention and treatment of heart failure is an important measure to reduce mortality. First, pay attention to remove the cause of heart failure. From the 130 cases in this article, the complications of arrhythmia, infection, electrolyte imbalance is the most common, followed by active rheumatoid, digitalis over, infective endocarditis. These incentives are not removed, heart failure is not