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總結心房顫動的并發癥

SHIJIAN:2015-09-19 00:00:00

人氣:

BIANJI:WANGYOUZHENGLI

標簽:動脈栓塞 外科 

導讀:1.腦動脈栓塞 是房顫的最常見并發癥之一,流行病學統計,心房纖顫患者腦卒中的發生率為2%~6%,房顫患者并發全身栓塞中75%為腦動脈栓塞,腦栓塞的栓子主要來自左心房和心耳部,75%的栓子來自左心房內附

  ???1.腦動脈栓塞 是房顫的最常見并發癥之一,流行病學統計,心房纖顫患者腦卒中的發生率為2%~6%,房顫患者并發全身栓塞中75%為腦動脈栓塞,腦栓塞的栓子主要來自左心房和心耳部,75%的栓子來自左心房內附壁血栓,25%來自動脈粥樣硬化斑塊的脫落。上海仁濟醫院心內科王新華

  
2.肺栓塞 房顫患者右心的血栓脫落造成肺動脈及其分支的栓塞發生肺栓塞,肺栓塞的病死率高達20%~40%,美國統計每年有5萬~10萬的肺栓塞患者,占美國死亡原因的第3位。

  
3.周圍動脈栓塞幸运飞艇会亏吗 周圍動脈栓塞的患者80%有心房顫動,房顫患者的心臟附壁血栓脫落后,隨動脈血流向體循環遠端造成急性動脈栓塞。

  
4.心功能不全? 心房顫動的心室率與患者心功能的狀態密切相關,當房顫并快速心室率時,尤其心臟功能基礎較差時,引起心排血量顯著地急劇降低,導致組織器官灌注不足和急性淤血綜合征,可并發急性心力衰竭,臨床上以急性左心衰較為常見。

  
5.心臟性猝死幸运飞艇会亏吗 快速房顫時,心室率加快,有效心輸出量減少,冠狀動脈灌注量減少,可導致心臟驟停,房顫導致心臟猝死的主要原因有:房顫伴有預激綜合征;肺動脈栓塞;急性心功能不全;神經,精神因素等。

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