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本文报道1807例老年心脏病心律失常的分析结果。所有心律失常中,以(?)性心动过速发生率最高(30.3%):在异位性心律失常中,心房颤动占17.8%,房性早搏占16.1%,室性早搏占13.9％,阵发性房性心动过速占4.2％.在传导异常中,左前分支阻滞占3.8％,Ⅰ(?)AVB占3.5％,完右阻滞占2.6％,完左阻滞和Ⅱ(?)AVB各占2.2％。认为老年心脏病以房性心律失常和室性早搏较多,且以异位和传导性心律失常较常见(54.2％)(?)如出现心房颤动,易促发心力衰竭(?)强调老年心脏病出现Ⅲ°AVB时仍应安置人工起搏器;完左阻滞的预后较完右阻滞差(?)若使用洋地黄制剂,以不超过成人剂量1/2为宜.
This article reports the analysis of 1807 elderly patients with cardiac arrhythmias. Among all the arrhythmias, the incidence of (?) Tachycardia was the highest (30.3%): in atopic arrhythmias, atrial fibrillation accounted for 17.8%, atrial premature beat accounted for 16.1%, premature ventricular contractions accounted for 13.9%, array The incidence of atrial tachycardia accounted for 4.2% .In the conduction abnormalities, left anterior branch block accounted for 3.8%, Ⅰ (?) AVB accounted for 3.5%, right renal block accounted for 2.6%, left and right block and Ⅱ (? AVB each account for 2.2%. Aged heart disease that atrial arrhythmia and premature ventricular contractions are more common and ectopic and conduction arrhythmias are more common (54.2%) (?) Such as the presence of atrial fibrillation, easy to promote heart failure (?) Emphasize the elderly heart disease When the emergence of Ⅲ ° AVB artificial pacemaker should be placed; finished left block prognosis worse than the right right block (?) If you use digitalis preparations to no more than 1/2 adult dose is appropriate.