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双语推荐：心律失常

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目的：探讨低钾血症致心律失常的心电图特点与临床的关系。方法分析160例低钾血症所致心律失常的低钾病因、临床表现、血钾浓度与心律失常关系及心律失常的转归。结果低钾血症所致的心律失常多见于急性失钾的青壮年，血钾降低的程度与心律失常的发生率，其差异有高度显著性P＜0.01；血钾越低，心律失常发生率越高。结论除重症室性心律失常外，通常的病例经积极有效补钾后，病情好转快，预后好，不急于使用抗心律失常药物，以避免引发更严重的心律失常。
Objective To study the hypokalemia induced arrhythmia characteristics and the relationship between clinical electrocardiogram (ECG). Methods Analysis of 160 cases with arrhythmia induced by hypokalemia low potassium etiology, clinical manifestation, potassium concentration relation with arrhythmia and outcome of cardiac arrhythmias.Results The cardiac arrhythmias of hypokalemia caused by acute potassium loss of young adults, see more at the extent of the potassium lower and the incidence of arrhythmia, highly signifi cant difference (P < 0.01); Potassium is lower, the higher the incidence of arrhythmia. Conclusion In addition to the severe ventricular arrhythmia, usually cases after positive and effective complement potassium, improved fast, prognosis is good, don''t rush to the use of anti-arrhythmic drugs, in order to avoid caused more serious arrhythmia.

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目的研究分析老年冠心病的动态心电图特点。方法通过对579例老年冠心病患者的动态心电图(DCG)检测结果进行分析,总结老年冠心病动态心电图的特点。结果窦性心律失常(窦性心律过缓,窦性心律过速,窦房阻滞、停搏)65例,房性心律失常575例,复杂性房性心律失常303例,室性心律失常291例,复杂性室性心律失常111例,有症状性心肌缺血181例,无症状性心肌缺血323例。结论老年冠心病动态心电图最常见的是房性心律失常(99.31%)、复杂性房性心律失常(52.33%)和心肌缺血(87.05%),室性心律失常检出率也很高(50.26%)。
Objective To study the dynamic electrocardiogram in elderly patients with coronary heart disease. Methods 579 cases of patients with senile coronary heart disease patients by dynamic electrocardiogram (DCG) detection analysis, summary of dynamic electrocardiogram characteristics in elderly patients with coronary heart disease. Results Sinus arrhythmia (sinus bradycardia, sinus tachycardia, sinus arrest, cardiac arrest) in 65 cases, atrial arrhythmia in 575 cases, complicated atrial arrhythmia in 303 cases, 291 cases of ventricular arrhythmias, complex ventricular arrhythmia in 111 patients with symptomatic myocardial ischemia in 181;cases, asymptomatic myocardial ischemia:report of 323 cases. Conclusion The most common dynamic electrocardiogram in elderly patients with coronary heart disease atrial arrhythmia (99.31%), the complexity of atrial arrhythmias (52.33%) and (87.05%) myocardial ischemia, ventricular arrhythmia detection rate is very high (50.26%).

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探讨老年人无症状心律失常发生的原因、特点、以及防范措施。方法:880例老年无症状心律失常患者为农村和城镇居民免费健康体检中通过十二导联心电图机检查确诊的心律失常患者,与1083例老年有症状的心律失常患者通过结合全身检查综合整理资料,分析无症状心律失常的特点与原因。结果:老年无症状心律失常随年龄增长而明显增多。结论:老年无症状心律失常的发生与基础心脏疾病有直接关系,随着年龄增长心律失常的发病率明显增高,积极预防,及时诊断治疗,可以有效减少各种心脏危险不良事件的发生。
Objective:To study the reasons and characteristics of asymptomatic cardiac arrhythmia in the elderly occur,and preventive measures. Method:880 cases of elderly patients with asymptomatic cardiac arrhythmia for the rural and urban residents in the free health checks,check diagnose by 12 lead ecg machine of arrhythmia patients and 1083 cases of elderly patients with symptomatic cardiac arrhythmias by combining synthetical consolidation and rehabilitation physical examination data,analysed the characteristics of asymptomatic cardiac arrhythmia and reason.Result:Senile asymptomatic cardiac arrhythmia obviously increased with age (P<0.01).Conclusion:The occurrence of senile asymptomatic cardiac arrhythmias have direct relationship with underlying heart disease,along with the age growth significantly higher incidence of arrhythmia,active prevention,diagnosis and treatment in time,can effectively reduce various cardiac risk the occurrence of adverse events.

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目的探讨颈心综合征致心律失常的诊断、治疗及病因。方法回顾性分析我科2008年—2012年收治的16例颈椎病引起心律失常的诊断、治疗及病情转归情况。结果本组16例在明确心律失常系颈心综合征引起后,治疗原发病,心律失常均得到控制。结论颈心综合征发作时可导致心律失常的发生,明确诊断后积极治疗颈椎病会提高抗心律失常疗效,临床上要提高对颈椎病导致心律失常的认识,避免延误诊治。
Objective To explore neck heart syndrome to diagnosis, treatment and the causes of arrhythmias. Methods To analyze the I division in 2008-2012 treated 16 cases of cervical spondylosis cause disease diagnosis , treatment and outcome of cardiac arrhythmias. Results Of 16 cases in clear arrhythmia heart syndrome caused by neck, after treatment of primary disease, arrhythmia under control. Conclusion Cervical syndrome of heart attack can cause cardiac arrhythmia occurs, active treatment after diagnosis of cervical spondylosis can improve the anti-arrhythmic effects, so to improve clinical understanding of cervical vertebra disease cause arrhythmia, to avoid delay in diagnosis and treatment.

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目的：探讨不同部位急性心肌梗死（AMI）患者心律失常的特点及监测护理方法。方法分析129例AMI发生部位与心律失常的关系，总结AMI并发心律失常患者心律监测、抢救及护理措施。结果前壁、侧壁与广泛前壁AMI发生室性心律失常率为67.1%，窦性心动过缓、传导阻滞、交界性心律为17.7%；下壁、正后壁、右室AMI发生室性心律失常率为4.0%，窦缓、传导阻滞、交界性心律为84.0%(P<0.01)。结论 AMI并发心律失常的性质与 AMI发生部位密切相关。针对不同部位AMI患者并发心律失常的特点，进行有效的监测护理，有利于降低死亡率。
Objective to investigate the characteristics and ef ective methods of monitoring and nursing of patients with dif erent parts of acute myocardial infarction complicated with arrhythmia (AMI). Methods Analyze the relationship of the parts of AMI and accompanied arrhythmia according 129 cases and summarize the ef ective methods of monitoring and nursing of AMI patients. Results 67.1% of anterior wal ,extensive anterior wal and lateral wal AMI developed ventricular arrhythmias,17.7%developed sinus bradycardia,atrioventricular block,junctional premature beat;4.0% of anteroseptum and posterior wal ,right ventricle AMI developed ventricular arrhythmias,84.0%developed sinus bradycardia,atrioventricular bloc,junctional premature beat (P<0.01). Conclusion The parts of AMI was closely related to accompanied arrhythmia,monitoring and nursing of patients according to the characteristics of dif erent parts of AMI is benefical to decrease the rate of death.

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目的探讨急性心肌梗死患者行急诊冠状动脉介入治疗后再灌注心律失常的发生特点,以便减少严重心律失常的发生率,改善患者预后及生活质量。方法对该院2009年1月至2012年5月收治的147例急性心肌梗死患者行急诊冠状动脉介入治疗后再灌注心律失常的资料进行分析。结果 147例患者中有62例出现再灌注心律失常,梗死相关动脉为左前降支(LAD)33例(LAD组),左回旋支(LCX)7例(LCX组),右冠状动脉(RCA)22例(RCA组)。LAD组快速型心律失常发生率高于RCA组(P0.05);RCA组缓慢型心律失常发生率高于LAD组(P0.05)。梗死相关动脉开通时间小于6h发生心律失常43例,而大于6h发生心律失常19例;心律失常主要发生于急性心肌梗死后梗死相关动脉较早开通者。结论急性心肌梗死急诊冠状动脉介入治疗后再灌注心律失常发生率高,心律失常的类型与梗死相关动脉有相关性,其发生率与再灌注时间有关。
Objective To explore the characteristics of the reperfusion arrhythmia after acute myocardial infarction (AMI) pa-tients underwent emergency coronary interventional therapy ,in order to reduce the incidence of serious arrhythmia ,and improve the prognosis and quality of life .Methods Clinical data of 147 patients from January 2009 to May 2012 with acute myocardial infarction occurrence reperfusion arrhythmia after underwent emergency coronary interventional treatment were analyzed .Results In 147 ca-ses ,62 cases of reperfusion arrhythmia occurred .Infarct-related artery for the left anterior descending branch (LAD) 33 patients (LAD group ) ,left circumflex artery (LCX) 7 cases (LCX group ) after surgery ,the right coronary artery(RCA) 22 cases (RCA group) .The tachyarrhythmia in LAD group was higher than RCA group(P 6 h arrhythmia had 19 cases occurred ;Arrhythmia after acute myocardial infarction occurred mainly in infarct related artery opened earlier .Conclusion AMI occurrence repe

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目的探讨老年肺心病合并心律失常临床特点,为肺心病合并心律失常的防治提供临床经验。方法回顾性分析2009年5月-2014年5月我院收治的61例老年肺心病患者临床资料,统计心律失常发生率及各种类型心律失常分布构成比,观察心律失常与心功能和电解质紊乱的关系。结果 61例老年肺心病患者中合并心律失常29例,心律失常发生率为47.54%。心律失常类型主要为房性早搏10例,占34.48%;29例肺心病合并心律失常患者中心功能分级为Ⅰ级2例,占6.9%;Ⅱ级4例,占13.79%;Ⅲ级11例,占37.93%;Ⅳ级12例,占44.82%。29例肺心病合并心律失常患者中发生失代偿性酸中毒11例,占37.93%;低钾血症10例,占34.48%;低钠血症8例,占27.58%。结论老年肺心病患者发生心律失常风险较大,肺心病合并心律失常与低氧血症、心功能和电解质紊乱密切相关,临床应该采取综合措施进行治疗。
ObjectiveTo explore the clinical characteristics of old patients with cor pulmonale and arrhythmia,in order to provide clinical experience of prevention and treatment for cor pulmonale patients with arrhythmia.Methods Retrospectively analyzed the clinical data of 61 cases elderly cor pulmonale patients from May 2009 to May 2014 in our hospital, statistics the incidence of arrhythmia and distribution of the proportion of all kinds of arrhythmia, and observed the relationship between cardiac arrhythmias and cardiac function and electrolyte disorder.Results 29 cases out of 61 cases of elderly patients who suffered from cor pulmonale merged arrhythmia, the incidence of arrhythmia was 47.54%. The type of arrhythmia mainly was atrial premature beat,10 cases, accounting for 34.48%; center function of 2 cases out of 29 patients with cor pulmonale and arrhythmia was classification into classⅠ, accounting for 6.9%; Ⅱ level were 4 cases, accounting for 13.79%; Ⅲ level were 11 cases,

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妊娠期心律失常是指女性在整个妊娠期间发生的心律失常.这些心律失常可以在妊娠前即存在,也可以为妊娠后首次出现.妊娠期心律失常并不少见,多数不合并有器质性心脏病,但合并器质性心脏病的患者,妊娠期心律失常的发生率和危险性均增加.有统计报道0.2％～4.0％的妊娠妇女合并有各种器质性心脏病,而这一人群是妊娠期心律失常的高危患者,对这一人群的妊娠前指导和妊娠风险评估至关重要.此外,对妊娠期心律失常的治疗目前缺乏明确的循证医学证据,其指导原则多依据临床小样本回顾性研究.
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目的探讨急性心肌梗死患者并发心律失常的临床特点。方法回顾性分析我院50例急性心肌梗死并发心律失常住院患者的临床资料。结果急性心肌梗死患者并发心律失常总发生率几乎100％。结论急性心肌梗死患者并发心律失常发生率高，猝死率高，应根据不同情况尽早采取积极有效的防治措施，降低急性心肌梗死并发心律失常患者死亡率。
objective: to study the acute myocardial infarction patients and the clinical characteristics of arrhythmia. Methods: retrospective analysis fifty cases of acute myocardial infarction complicated arrhythmia of hospitalized patients with clinical data. Results: patients with acute myocardial infarction complicated arrhythmia total incidence almost 100%. Conclusions: in patients with acute myocardial infarction complicated arrhythmia incidence rate is high, the death rate is high, should according to different situation as soon as possible to take positive and effective prevention and control measures, reduce acute myocardial infarction complicated arrhythmia patients mortality.

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目的：分析益心汤治疗冠心病心律失常的临床价值。方法选取来我院接受治疗的冠心病心律失常患者30例，对患者给予自拟益心汤治疗治疗，观察其临床疗效。结果冠心病心律失常患者经过自拟益心汤治疗后，总有效率为86.7%。结论采用益心汤治疗冠心病心律失常，可有效改善患者的心律失常，疗效显著。
Objective To observe the clinical efficacy on arrhythmia of coronary heart disease treated with self-repared yixin decoction. Methods In our hospital 30 cases were selected and treated with self-repared tianma gouteng decoction, the efficacy was assessed. Results After the treatment, the total effective rate was86.7%. Conclusion Self- prepared yixin decoction is effective in treatment of arrhythmia of coronary heart disease and its effiacy is definite and superior. Thus, this therapy deserves to be promoted in clinical practice.

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