冠心病慢性心力衰竭患者室性心律失常的教學探討

高慶寧

[摘要] 室性心律失常是冠心病慢性心力衰竭患者最常見和最嚴重的并發癥之一，其不僅會加重患者的病情復雜程度和提高其臨床治療的難度，若不及時采取規范治療，還易增加患者的病死率，對臨床救治人員的專業技能具有較高的要求。為了能給冠心病慢性心力衰竭并發室性心律失常患者提供良好診療服務，從而提高其疾病治療有效率和降低患者的病死率，就需要臨床帶教人員積極探尋有效的教學方法對實習醫生進行教學，使其能夠快速、準確地對患者病情進行診斷，并根據診斷結果為患者制定出合理的治療方案，進而才能改善患者的預后。該文主要簡述了冠心病慢性心力衰竭患者并發室性心律失常的機制和危害，并總結了一些冠心病慢性心力衰竭患者室性心律失常的教學方法，最后，以臨床實踐案例敘述了采用臨床用藥指導模式教學在冠心病慢性心力衰竭患者室性心律失常教學中的應用效果，以期能為后續相關疾病的教學工作提供有效參考。

[關鍵詞] 冠心病慢性心力衰竭;室性心律失常;教學

[中圖分類號] R-4 [文獻標識碼] A [文章編號] 1672-5654（2020）01（a）-0153-03

[Abstract] Ventricular arrhythmia is one of the most common and serious complications in patients with chronic heart failure and coronary heart disease. It not only aggravates the complexity of the patient's condition and makes it difficult to treat it clinically. It is easy to increase the mortality of patients， which shows that it has higher requirements for the professional skills of clinical treatment personnel. In order to provide good diagnosis and treatment services for patients with chronic heart failure and ventricular arrhythmias in coronary heart disease， so as to improve the efficiency of disease treatment and reduce the mortality rate of patients， it is necessary for clinical instructors to actively explore effective teaching methods for teaching interns， so that it can quickly and accurately diagnose the patient's condition， and develop a reasonable treatment plan for the patient according to the diagnosis results， so as to improve the patient's prognosis. This article briefly describes the mechanism and harm of ventricular arrhythmia in patients with chronic heart failure with coronary heart disease， and summarizes some teaching methods of ventricular arrhythmia in patients with chronic heart failure with coronary heart disease. Finally， the clinical practice case is used to describe the use of clinical drugs effect of the guidance model teaching in the teaching of ventricular arrhythmias in patients with chronic heart failure with coronary heart disease， in order to provide an effective reference for the teaching of subsequent related diseases.

[Key words] Chronic heart failure with coronary heart disease; Ventricular arrhythmias; Teaching

冠心病是一種常見的心血管疾病，其不僅會引發患者出現突感心前區疼痛癥狀，同時還會導致其心肌組織發生結構或功能異變，從而出現心臟衰竭狀態，也即發生慢性心力衰竭，因此，冠心病常與慢性心力衰竭合并存在[1]。而冠心病慢性心力衰竭又易引發……