心脏性猝死与预测

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猝死近年有增长的趋势,据报导美国每年约有45万人猝死。据美国纽约等六个城市的统计,心脏性猝死占全部猝死的44.9~66.3%。北京每百万人口中每周不到1.5人猝死 我国孙氏报告心脏性 猝占猝死的67.9%、江氏报告占71%。 心脏性猝死多发于男性,约为女性3~4倍,随年龄增加这种差异缩小,Malora报告40~49岁组男与女之比为2.5∶1,70~79岁组为1.25∶1、心脏性猝死多发生于壮老年人,45岁以下女性罕见。 心脏性猝死的病因很多,1975年Silber曾综合有十种以上。其中以冠心病最多,约占42~75%。一组病死于12小时以内猝死者463例,尸检发现冠心病422例,占91%,据379例心脏性猝死分析,冠心病占54.4%,心肌炎占12.9%,依次为梅心病,风心病、先心病、主动脉窦破裂。Kuler报告猝死 Sudden death has been on the rise in recent years, and it is reported that there are about 450,000 sudden deaths in the United States each year. According to the statistics of six cities such as New York, USA, sudden cardiac death accounts for 44.9-66.3% of all sudden deaths. Beijing Less than 1.5 Sudden Deaths per Million Pops a Week China’s Sun reports 67.9% of sudden cardiac deaths and 71% of Jiang’s reports. Sudden cardiac death in men, about 3 to 4 times the female, with age, this difference narrows, Malora report 40 to 49 age group male to female ratio of 2.5: 1, 70 to 79 years old group was 1.25: 1, Sudden cardiac death occurs in the elderly, rarely seen in women under the age of 45. There are many causes of sudden cardiac death. In 1975, Silber had integrated more than ten kinds. Among them, the most coronary heart disease, accounting for about 42 ~ 75%. According to 379 cases of sudden cardiac death, coronary heart disease accounted for 54.4% and myocarditis accounted for 12.9%, followed by those of Meridian disease, rheumatic heart disease, Congenital heart disease, aortic sinus rupture. Kuler reports sudden death
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