摘要
目的探讨慢性肺心病合并急性心肌梗死(AMI)的临床特点。方法对慢性肺心病合并AMI的28例(A组)患者临床表现进行回顾性分析,以同期收治的单纯肺心病28例(B组)作对照。结果两组胸闷、胃肠道反应等症状的发生率差异无显著意义,而肺心病合并AMI的患者突发急性左心衰、心源性休克、持续心律失常、胸痛的发生率明显高于单纯肺心病患者。结论对肺心病患者突然发生的急性左心衰、心源性休克、持续心律失常、胸痛等症状,应及时完善AMI的检查,以便早期识别慢性肺心病合并AMI。
Objective To explore the clinical characteristics of chronic pulmonary heart disease combined with acute myocardial infarction（AMl）. Methods A retrospective analysis of clinical data was performed in 28 cases of chronic pulmonary heart disease patients combined with AMl（group A）,28 cases of simple pulmonary heart disease patients as control group（group t]）. Results The incidence rate of chest tightness and gastrointestinal reaction between two groups was no significantly different;The incidence rate of acute left heart failure,cardiogenic shock, continual arrhythmia and chest pain in chronic pulmonary heart disease patients combined with AMl（group A） was significantly higher than those with simple pulmonary heart disease （group ]3）. Conclusion When the acute left heart failure, cardiogenci shock,continual arrhythmia and chest pain sudden happen,the examination of AMI shall be done in time in order to chronic pulmonary heart disease with AMI can be earlier found and treated.
出处
《中国基层医药》
CAS
2005年第9期1134-1135,共2页
Chinese Journal of Primary Medicine and Pharmacy
