老年心力衰竭186例临床分析.pdfVIP

老年心力衰竭186例临床分析

摘［要］目的：探讨老年人心力衰竭的特点，为诊治老年心力衰

竭提供依据。方法：将心力衰竭患者成中青年组、老年组、高龄组

三组，别对其临床特点进行对比析。结果：随着年龄的增加，心

力衰竭患者为ni级和w级的比例增加；引起心力衰竭的前三位病因

别为冠心病(63.2%).肺心病(37.9%)、高心病(26.4%),老年组及

高龄组常为2〜3种疾病同时存在；各组心衰最常见的诱因是感染

(58.7%)，心律失常(35.3%)也是一常见的诱因；老年患者心力衰

竭症状、体征不典型，易致漏诊误诊；老年心力衰竭死亡率高(13.4%)。

结论：老年心力衰竭的主要病因为冠心病，年龄越大，临床症状越不

典型，心力衰竭程度越重，预后越不良，治疗上要区别对待。

关［键词］老年；心力衰竭；临床特点

［中图类号］R54L6［文献标识码A［［文章编号］1673-7210

(2008)07(a)-056-03

Aclinicalanalysisofldrlypatintswithhartfailur

in186cass

ZHOULi-hua,ZHANGZhi-qing,KANGLin,LIUD-lin

(ThPopl，sHospitalofYaanCity,Yaan625000,China)

A［bstract］Objctiv:Toxplorthclinical

charactristicsofldrlypatintswithhartfailur(HF)by

analyzingdiffrntag-groupsclinicaldata.Mthods:269

casswithhartfailurwrdividdinto60yarsgroup,

60〜74yarsgroupand275yarsgroup.Thirclinical

faturswrcompardandanalyzdstatistically.Rsults:

Withaging,thratioofNYHAhartfunctionIII、IVwas

significantlyincrasd;thfirstthrdisasswhichcaus

HFwrcoronaryhartdisas(63.2%),pulmonaryhart

disas(37.9%)andhyprtnsion(26.4%),howvr,2〜3

disassabovusuallycoxistdinldrlyandsnilpatints;

thmostimportantcauswasinfctionofHF(58.7%)inall

ththrag-groups,tharrhythmias(35.3%)inthldrly

andsnilpatintswasalsoplaydanimportantpartincausing

HF;symptomsandsignswrnottypicalinldrlygroupand

snilgroup,sothdisasoftnomittdandmisdiagnosd;

thdathinldrlygroupandsnilgroup(13.4%)incrasd

compardwiththothrag-groups.Conclusion:Tholdrth

patintsar,thlsstypicalclinicalcharactristicsar,

thmors