429例慢性肺心病20年随访观察

Follow-up Observation of 429 Patients with Chronic Pulmonary Heart Disease during past 20 Years

对４２９例慢性肺心病患者进行了２０年随访结果表明，５年存活率为３２．４％，１０年存活率为１６．３％，２０年存活率为０．０４％，２０年中死于与肺心病有关的疾病３２４例，死于与肺心病无关的疾病８７例。确诊为肺心病的患者存活期最长为２０年，平均年龄为（６６．７±４．６）岁，说明如能早期诊断并采取积极有效的治疗，可使肺心病患者延长寿命。

The results of the follow-up observation of 429 cases with chronic pulmonary heart disease were reported in this article.The results showed that five year survival rate is 32.4%,ten year survival rate is 16.3%,twenty year survival rate is 0.04%,among 429 patients with chronic pulmonary heart disease,324 cases died of the disease which related to pulmonary heart disease,and 87 cases died of other disease during the past 20 years.The longest survival time of the patients with pulmonary heart disease was 20 years and their average age is 66.7±4.6 years.It indicated that if diagnosis and effective treatment were adopted in early peried,the patients with pulmonary heart disease could live longer.