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目的探讨心脏性猝死(SCD)的病因、发病机制,为SCD的诊断和预防提供证据。方法回顾性分析了91例SCD患者的发病病因、季节、时间、诱因、临床表现及年龄。结果91例抢救成功4例(4.40%),死亡87例(95.60%)。结论①SCD男性高于女性,年轻人最少见,老年人(60岁以上)最多见;②冠心病是心源性猝死的主要原因;③室性早搏出现猝死的危险性更大;④避免诱因是预防猝死的关键;⑤猝死常发生于冬春季,6:00~12:00;⑥应高度重视猝死的先兆症状;⑦预防为主,防治结合,尽早心肺复苏是抢救成功的关键。
Objective To investigate the etiology and pathogenesis of sudden cardiac death (SCD) and provide evidence for the diagnosis and prevention of SCD. Methods Retrospective analysis of 91 cases of SCD patients etiology, season, time, incentive, clinical manifestations and age. Results 91 cases of successful rescue in 4 cases (4.40%), 87 patients died (95.60%). Conclusion ①SCD male is higher than female, the youngest is the youngest, the elderly is the most common (over 60 years); ② coronary heart disease is the main cause of sudden cardiac death; ③ ventricular premature beats are more likely to have sudden death; ④the cause of avoidance is ⑥ sudden death should occur in winter and spring, 6: 00 ~ 12: 00; ⑥ should attach great importance to aura symptoms of sudden death; ⑦ prevention, prevention and treatment, as soon as possible cardiopulmonary resuscitation is the key to the success of the rescue.