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笔者在上海仁济医院心内科进修时遇及81例急症性过缓心律失常。现作分析,供基层医院同行参考。1.资料分析:均为住院患者,其中男34例,女47例;年龄为36～79岁,60岁以上者68例(占84%)。病因为冠心病并高血压72例,心肌病4例,心肌炎后遗症5例。病程1～5年28例,6～10年29例,11～20年24例。有明显诱因者70例(占86.4%),其中劳累52例,情绪不佳、工作紧张18例。表现有心悸、胸闷、乏力79例(97.53%),
The author in Renji Hospital, Shanghai Institute of Cardiology encountered 81 cases of acute bradyarrhythmia. Analysis now, for the grass-roots hospital peer reference. 1. Data Analysis: Inpatients, including 34 males and 47 females; aged 36 to 79 years, 68 patients over the age of 60 (84%). Cause of coronary heart disease and hypertension in 72 cases, 4 cases of cardiomyopathy, myocarditis sequelae in 5 cases. Course of disease in 1 to 5 years in 28 cases, 6 to 10 years in 29 cases, 11 to 20 years in 24 cases. There are 70 cases of obvious inducement (86.4%), fatigue in 52 cases, poor mood, work stress in 18 cases. Performance palpitations, chest tightness, fatigue in 79 cases (97.53%),