慢性肺源性心脏病合并冠心病27例临床分析

Clinical Analysis of 27 Cases with Chronic Pulmonary Heart Disease Accompanied with Coronary Heart Disease

目的探讨肺源性心脏病合并冠心病的临床特点、心电图变化及转归。方法对27例肺心病合并冠心病患者临床资料进行回顾性分析。结果临床上多表现为不典型性心绞痛、夜间阵发性呼吸困难、胸闷及心悸;心电图示持续性缺血ST-T改变、Ⅱ-Ⅲ度房室传导阻滞,心界向左或左下扩大,心电轴不偏或左偏。结论慢性肺源性心脏病合并冠心病症状、体征相互掩盖,病情复杂,容易误诊和漏诊,所以明确诊断尤为重要。

Objective To investigate the clinical characteristics,ECG changes and prognosis of pulmonary heart disease（PHD） accompanied coronary heart disease（CHD）.Methods Clinical data of 27 patients chronic pulmonary heart disease（PHD） accompanied coronary heart disease（CHD） were retrospectively analysed.Results Clinically were not typicality angina,night paroxysmal dyspnea,chest tighness,palpitations,ECG shown persistent ischemia ST-T changes,Ⅱ-Ⅲ degree atrioventricular block,the heart bounded left or left-down expand,ECG shaft not partial or left.Conclusions Chronic pulmonary heart disease（PHD） accompanied coronary heart disease（CHD）symptoms,signs and is difficult to cover up each other,disease complex,so it is easy to be misdiagnosed and capsulorrhaphy clear diagnosis is especially important.