114例慢性肺心病并发冠心病的临床分析

The clinical analysis of 114 cases of chronic cor pulmonale with coronary heart disease

目的 :探索慢性肺心病并发冠心病 (以下称肺冠病 )的临床特点。方法 :总结了 1996～ 1999年 12月间收治的 43 7例慢性肺心病的临床表现 ,并结合有关资料进行分析。结果 :在 43 7例慢性肺心病中 ,有 114例合并冠心病 ,并且从中发现肺心病年龄越大 ,肺冠病发生的可能性越大。本组 114例中 ,老年人占 92 1%,表明肺冠病并不少见。结论 :肺心病和冠心病均系老年人的常见病。本组 43 7例肺心病中并发冠心病发生率为 2 3 8%。

Objective: To probe the clinical characteristic of chronic cor pulmonale with coronary heart disease. Methods: The author summarized clinical manifestations of 437 cases of chronic cor pulmonale treated in our hospital from 1996 to 1999 and analysed their cliniral feafures. Results: We found that out of 437 cases of cor pulmonale,114 cases showed the characteristic of coronary heart disease and that the older age of a patient is,the more possible cor plumonale with coronary heart disease is 92.1% of these patients were elderly people. Conclusion: Cor pulmonale and coronary heart disease are common disease of aged people.Out of 437 cases of cor pulmonale,23.8% also showed the characteristic of coronary heart disease.If we treat a patient of cor pulmonale,we should consider whether the patient has coronary heart disease or not.If so,we should treat both cor pulmonale and coronary heart disease in a proper way at the same time.