[摘要] 目的 分析基层医院心房颤动住院患者临床特点、血栓栓塞和抗凝治疗现状。 方法 对2000～2004年426例心房颤动住院患者的临床资料进行回顾性分析。结果 高血压是最常见的病因，156例(36.62%),风湿性心脏病54例(12.68%)。房颤患者血栓栓塞的发生率为64例(15.02%)，其中瓣膜性房颤与非瓣膜性房颤之间差异无显著性；在非瓣膜性房颤中，左房的大小在栓塞组与非栓塞组差异无显著性。接受华法林治疗89例(20.89%)。 结论 本研究提示房颤的抗凝治疗在基层医院需进一步加强。

    [关键词] 心房颤动;血栓栓塞;抗凝治疗

    Clinical analysis of 426 cases of atrial fibrillation

    WANG Ai-guo,TONG Jin-rong,ZHAO Zong-rui,et al.Zuozhong Railway Hospital,Anner Mongolia 029400,China

    [Abstract] Objective To analyze the clinical characteristics,thromboembolism and the anticoagulant therapy of the atrial fibrillation (AF) patients in the primary hospital.Methods Selected 426 patients with AF in 2000～2004 and retrospectively analyzed their clinical data. Results The hypertension was the most common etiological factor 156(36.62%).Rheumatic heart disease was 54 patients.The thromboembolic event occurred in 64 patients (15.02%),but there was no significant difference between valvular atrial fibrillation and nonvalvular atrial fibrillation;the studied cases with stroke and controls without stroke of the nonvalvular atrial fibrillation were similar in terms of mean left atrial diameter.Eighty-night patients (20.89%) received warfarin. Conclusion The study prompts atrial fibrillation to prevent clotting the anticoagulant therapy to have further to strengthen in the primary hospital. ......