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目的:探讨心血管危重症继发交感风暴的病因分布特点和治疗方法。方法:回顾性分析我院2001年-2011年37例心血管危重症继发交感风暴临床资料。结果:37例心血管危重症继发交感风暴患者,其中男性22例,女性15例,年龄55-82岁,平均68.25岁。病因分布为:心肌梗死29例,心衰3例,扩张性心肌病2例,电解质紊乱2例,Brugada综合征1例。治疗方法包括β受体阻滞剂、胺碘酮、利多卡因、电除颤等。其中,17例因反复发作室颤,经抗心律失常药物和电除颤治疗无效死亡,余20例病情得到控制。结论:心血管危重症继发交感风暴临床病因多样,病情凶险,应用β受体阻滞剂及抗心律失常药物,同时积极针对病因及诱因治疗,可以改善临床症状和预后。
Objective: To investigate the etiological characteristics and treatment of symptomatic storm secondary to cardiovascular critically ill patients. Methods: A retrospective analysis of our hospital from 2001 to 2011 in 37 cases of cardiovascular risk secondary sympathetic storm clinical data. Results: 37 cases of cardiovascular crisis secondary to symptomatic storm patients, including 22 males and 15 females, aged 55-82 years, mean 68.25 years. Etiology distribution: 29 cases of myocardial infarction, heart failure in 3 cases, dilated cardiomyopathy in 2 cases, electrolyte imbalance in 2 cases, Brugada syndrome in 1 case. Treatments include beta blockers, amiodarone, lidocaine, defibrillation and the like. Among them, 17 cases of repeated episodes of ventricular fibrillation, anti-arrhythmic drugs and defibrillation treatment ineffective death, the remaining 20 cases were under control. CONCLUSIONS: The clinical etiopathogenisis of secondary crisis of cardiovascular critiosis are diverse and dangerous. The application of β-blockers and anti-arrhythmic drugs and aggressive treatment of etiology and predisposition may improve clinical symptoms and prognosis.