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分析一组心性猝死病例,发现其中由冠心病引起者22例,占该组总例数(40例)的55％,占同期住院冠心病死亡总例数(61例)的36.6％,而同期住院的其他心脏病死亡者(264例)中猝死者仅18例(猝死率为6.8％),显示冠心病的猝死率较其他心脏病为高(P<0.01)。资料还表明,本组心性猝死的易患因素依次为心脏增大(29例,占72.5％)、频发室早(15例,占37.5％)、高血压(13例,占32.5％)及其他。本文分析结果提示,予防心性猝死的关键在于及早发现、有效地防治心性猝死的易患因素及引起心性猝死的基础疫病,尤其是心脏增大、冠心病。
Analysis of a group of sudden cardiac death cases and found that caused by coronary heart disease in 22 cases, accounting for 55% of the total number of cases (40 cases), accounting for 36.6% of hospitalized cases of coronary heart disease deaths (61 cases) in the same period, while the same period Only 18 of the other cardiac deaths (264) were hospitalized with sudden death (a sudden death rate of 6.8%), indicating a higher rate of sudden death from coronary heart disease than other cardiac diseases (P <0.01). The data also showed that the predisposing factors of sudden cardiac death in this group followed by heart enlargement (29 cases, accounting for 72.5%), frequent premature ventricular occlusion (15 cases, 37.5%), hypertension (13 cases, 32.5% other. The results of this paper suggest that the key to the prevention of sudden cardiac death lies in the early detection and effective prevention of the risk factors for sudden cardiac death and the underlying diseases causing sudden cardiac death, especially in the heart, coronary heart disease.