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目的分析老年心室内传导阻滞常见类型的临床特点。方法选择2002年8月～2005年1月老年心室内传导阻滞病例66例,其中双支阻滞9例,单支阻滞57例(其中左束支传导阻滞8例,左前分支传导阻滞16例,右束支传导阻滞33例)。比较其冠心病及器质性心脏病的发病率。结果老年右束支传导阻滞组冠心病或器质性心脏病发病率低于其它组(P均<0.05)。结论老年患者右束支传导阻滞较老年双支、左束支及左前分支传导阻滞多见,且其冠心病或器质性心脏病患者所占比例要低,提示右束支传导阻滞发生于健康老年人不少见。
Objective To analyze the clinical features of common types of senile ventricular block. Methods From August 2002 to January 2005, 66 cases of senile ventricular conduction block were selected. Among them, 9 cases had double-branch block and 57 cases had single block (including 8 cases in left bundle branch block, Hysterectomy in 16 cases, right bundle branch block in 33 cases). Compare the incidence of coronary heart disease and organic heart disease. Results The incidence of coronary heart disease or structural heart disease was lower in the right bundle branch block group than in the other groups (all P <0.05). Conclusion The right bundle branch block in elderly patients is more common than the elderly with double branch, left bundle branch and left anterior branch block, and the proportion of patients with coronary heart disease or organic heart disease is low, suggesting right bundle branch block Occur in healthy elderly see a lot.