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我院内科自1973年至1981年共收治各类心脏病人1,005例,其中风心病456例,占45.4％。死亡128例中,风心病41例,占32％,居首位。为了提高风心病的治疗效果,现回顾性分析如下: 一般资料 41例中男26例,女15例。年龄13-59岁,平均35.5岁。40岁以下20例。从确诊到死亡时间<5年19例,5-9年10例,10-14年和15-19年各为4例,>20年3例,不详1例。 41例中39例皆伴有心律失常,其中单纯房颤18例,房颤伴有Ⅱ°房室传导阻滞3例,房颤伴有室早4例,频发室早5例,房早2例,阵发性室上性心动过速3例,Ⅰ°房室传导阻滞3例,Ⅲ°房室传导阻滞1例。
There were 1,005 cases of various types of heart diseases admitted to our hospital from 1973 to 1981, of which 456 were rheumatic heart disease (45.4%). 128 cases of death, rheumatic heart disease in 41 cases, accounting for 32%, ranking first. In order to improve the treatment of rheumatic heart disease, retrospective analysis is as follows: General information in 41 cases, 26 males and 15 females. Aged 13-59 years old, with an average of 35.5 years old. 20 under 40 years old. From the time of diagnosis to death, 19 cases were less than 5 years, 10 cases were between 5 and 9 years, 4 cases were between 10-14 years and 15-19 years, 3 cases were more than 20 years, and 1 case was unknown. Among the 41 cases, 39 cases were accompanied by arrhythmia, including 18 cases of atrial fibrillation alone, 3 cases of atrial fibrillation with Ⅱ ° atrioventricular block, 4 cases of atrial fibrillation with ventricular astigmatism, 5 cases of frequent premature ventricular occlusion, 2 cases, paroxysmal supraventricular tachycardia in 3 cases, Ⅰ ° atrioventricular block in 3 cases, Ⅲ ° atrioventricular block in 1 case.