摘要
目的探讨慢性肺源性心脏病合并冠心病的临床特点及诊断。方法将慢性肺源性心脏病的患者150例,分两组:慢性肺源性心脏病合并冠心病的患者(A组,54例)和不合并冠心病患者(B组,96例),并将两组临床资料进行分析。结果两组比较,易患因素高血压、糖尿病和肥胖比率有显著差异(P<0.05),临床表现陈旧性心肌梗塞史、完全性左束枝传导阻滞(LBBB)、心界向左或向左下扩大、持续缺血的ST-T改变、Ⅱ～Ⅲ度房室传导阻滞、电轴右偏和重度右心衰竭有显著差异(P<0.05)。结论慢性肺源性心脏病合并冠心病时症状、体征相互掩盖,使病情更加复杂,漏、误诊率高,故根据上述临床表现及辅助检查诊断该病非常重要。
Objective To investigate the clinical characteristic and diagnosis of chronic pulmonary heart disease complicated by coronary heart disease.Methods The clinical data of 150 cases of chronic pulmonary heart disease were divided into two groups （chronic pulmonary heart disease complicated by coronary heart disease,54 cases;chronic pulmonary heart disease without coronary heart disease,96 cases） and analyzed.Results Between two groups,significant differential risk factors were hypertension,diabetes and adiposity （P〈0.05）,the significant differential clinical manifestations were old myocardial infarction,complete left bundle branch block（LBBB）,heart border expand to left,Ⅱ～Ⅲ°A-V block,ECG right-axis deviation and severe right heart failure.Conclusion The symptoms of chronic pulmonary heart disease with coronary heart disease is complicated. Diagnosis must be made according to clinical manifestation and auxiliary examinations.
出处
《临床和实验医学杂志》
2010年第3期188-189,191,共3页
Journal of Clinical and Experimental Medicine
关键词
慢性肺源性心脏病
冠心病
合并
诊断
Chronic pulmonary heart disease
Coronary heart disease
Combine
Diagnosis
