肺心病合并冠心病28例临床分析

Clinical Analysis of 28Case of Pulmonary Heart Disease Coexisted with Coronary

目的:探讨肺心病合并冠心病的临床特点。方法:将28例肺心病合并冠心病(并发组)的临床资料与同期70例单纯肺心病(单一组)进行对比。结果:两组患者心前区不适、心界扩大、心尖Ⅲ级缩杂音等方面均没有差异(P<0.05或0.01);典型性心绞痛、心电图显示心肌梗死病史、完全性左束支传导阻滞、电轴严重左偏,X线检查提示左心室增大等情况对是否合并冠心病有诊断意义(P<0.05或0.01)。结论:根据患者症状、体征、心电图资料结合超声心动图、胸部X线等其他检查可以方便诊断,减少漏诊和误诊。

Objective： To explore the clinical characteristics of pulmonary heart disease coexisted with coronary. Methods：Clinical data of 28 patients with pulmonary heart disease coexisted with coronary （combined group） were ana- lyzed and compared with 70 cases of pure pulmonary heart disease （single group）. Results： The differences of chest dis- comfort, heart community extended between two groups were not significant （P〈0. 05 or 0. 01）. Typical angina pecto- ris,history of yoeardial infarction,complete left bundle branch block, severe left-side axis, increased left ventricle, dual chamber enlarged had the significance in the diagnosis of pulmonary heart disease coexisted with coronary heart disease （P〈0. 05 or 0.01）. Conclusion： Echocardiography, chest X-ray and other inspection based on the symptoms, signs and ECG data could help diagnosis,and reduce misdiagnosis.