慢性肺源性心脏病合并冠心病临床探析

目的研究探讨慢性肺源性心脏病合并冠心病患者的临床特点。方法回顾性分析于2010年1月-2012年12月收治的72例慢性肺源性心脏病患者的临床资料进行回顾性对照分析。将患者随机分为2组,实验组36例,均为慢性肺源性心脏病合并冠心病患者;对照组36例,均为单一性慢性肺源性心脏病患者。将2组数据结果进行统计学分析,比较两组患者的临床表现和心电图情况。结果实验组患者的心绞痛、心悸、心肌梗死、心界向左扩大、呼吸困难的发生率均比对照组明显增高(P<O.05),实验组患者的缺血性ST-T改变、电轴左偏、束支传导阻滞、陈旧性心肌梗死的发生率均比对照组明显增高(P<O.05)。结论加强对慢性肺源性心脏病合并冠心病的诊断和治疗非常重要。

Objective To focus on and to explore the clinical characteristics of chronic pulmonary heart disease complicated with coronary heart disease. Methods Using retrospective study method of analysis and comparison from January 2010 to December 2012 72 cases of chronic pulmonary heart disease were retrospectively analysed. The patients were randomly divided into 2 groups, experimental group a total of 36 cases of chronic pulmonary heart disease complicated with coronary heart disease; in the control group, a total of 36 cases were patients with single chronic pulmonary heart disease. Then the data of the 2 groups were analyzed, compared two groups of patients with clinical manifestations and ecg. Results The experimental group of angina, myocardial infarction, heart palpitations, left heart border expanding, dyspnea incidence was significantly higher than that of the control group（P〈0.05）, the experimental groups of patients with ischemic ST-T changes, left axis deviation, bundle branch block, old myocardial infarction incidence was significantly higher than that of the control group（P〈0.05）. Conclusion It is very important to strengthen the diagnosis and treatment Of chronic pulmonary heart disease complicated with coronary heart disease.