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老年退行性心脏瓣膜病合并心力衰竭84例临床研究

MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE(2008)

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Abstract
目的 研究老年退行性心脏瓣膜病合并心力衰竭的临床特征.方法 将84例合并心力衰竭的老年退行性心脏瓣膜病(观察组)与同期收治的80例年龄、性别相匹配的无瓣膜钙化的合并心力衰竭患者(对照组)进行临床对比研究.结果 观察组心律失常、心脏扩大发生率均明显高于对照组(P<0.01).近期病死率和心功能不全发生率高于对照组,但无显著性差异.结论 老年退行性心脏瓣膜病存在严重的血流动力学障碍,加重了心功能损害,成为老年人充血性心力衰竭、猝死的重要原因之一.
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