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目的探讨老年急性心肌梗死心律失常临床治疗。方法本次研究选择的对象共50例,均为本院2010年2月至2013年2月收治的急性心肌梗死合并心律失常的老年患者,均采用胺碘酮辅助治疗,回顾临床资料。结果本组50例患者中,显效33例,占66%;有效13例,占26%;无效4例,占8%,临床总有效率为92%。无效病例因肺部感染、心源性休克或心律失常抢救无效死亡。患者均无严重不良反应,仅血压下降1例,后积极对血容量进行补充后纠正。治疗前后心率、QT间期、QTd比较差异有统计学意义(P<0.05)。结论老年急性心肌梗死合并心律失常采用胺碘酮治疗,可显著改善预后,降低病死率,值得临床广泛推广应用。
Objective To investigate the clinical treatment of arrhythmia in elderly patients with acute myocardial infarction. Methods A total of 50 subjects were selected in this study. All patients were elderly patients with acute myocardial infarction and arrhythmia admitted from February 2010 to February 2013 in our hospital. Amiodarone adjuvant therapy was used to review the clinical data. Results The group of 50 patients, markedly effective in 33 cases, accounting for 66%; effective in 13 cases, accounting for 26%; ineffective in 4 cases, accounting for 8%, the total effective rate was 92%. Invalid cases died of pulmonary infection, cardiogenic shock or arrhythmia rescue invalid. No serious adverse reactions in patients, only one case of decreased blood pressure, after positive correction of blood volume after correction. Heart rate, QT interval and QTd before and after treatment were significantly different (P <0.05). Conclusion Aged myocardial infarction with arrhythmia with amiodarone treatment can significantly improve the prognosis and reduce mortality, it is widely used in clinical practice.