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本文将风湿心脏病1170例中633例慢性房颤患者与537例窦律患者对比分析。房颤组的临床特征与既往报告相同。房颤组的起病、死亡年龄均迟于窦律组,房颤发生至死亡病程平均4.9年。本文用Odds ratio(ω)法分析影响住院死亡的相对危险因素,据结果将相对危险性大的因素依次排列为:充血性心衰、心脏显著增大、风湿性心脏炎、感染性心内膜炎、洋地黄中毒性心律失常及非细菌性动脉栓塞。非细菌性动脉栓塞则是慢性房颤的主要死亡危险因素。
In this paper, 1170 cases of rheumatic heart disease in 633 patients with chronic atrial fibrillation and 537 cases of sinus rhythm comparative analysis. The clinical features of the AF group were the same as in previous reports. Atrial fibrillation group of onset, the death age were later than the sinus rhythm group, atrial fibrillation occurred to an average of 4.9 years of death. The odds ratio (ω) method was used to analyze the relative risk factors affecting in-hospital mortality. According to the results, the relative risk factors were ranked as follows: congestive heart failure, significant increase of heart, rheumatic carditis, infective endocardium Inflammation, digitalis toxic arrhythmia and non-bacterial arterial embolism. Non-bacterial arterial embolism is a major risk factor for death from chronic atrial fibrillation.