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肺心病和冠心病都是老年人常见病和多发病。当肺心病伴发冠心病时,由于两病在某些症状和体征很类似,互相掩盖常导致诊断困难。所以国内各地报道肺心病伴发冠心病的百分率(0.3％～21.9％)远少于尸检的百分率(25％),更少于国外报道肺心病伴发冠心病59％的百分率。说明能否重视这个问题明显地影响到伴发冠心病的漏诊和误诊问题。因而如何提高肺心病伴发冠心病的诊断水平是尚有待于今后深入研究的一个课题。自1972年4月至1982年5月住我院肺心病病房的肺心病患者772例中老年肺心病450例,就其中伴发冠心病35例谈谈诊断方面的几点体会。
Pulmonary heart disease and coronary heart disease are common in the elderly and frequently-occurring disease. When pulmonary heart disease with coronary heart disease, due to the two diseases in some of the symptoms and signs are very similar, mutual mask often lead to diagnosis difficult. Therefore, the percentage of pulmonary heart disease patients with coronary heart disease (0.3% ~ 21.9%) reported in mainland China is far less than the percentage of autopsy (25%) and less than the 59% reported in the world. Explain whether attention can be paid to this issue significantly affect the missed diagnosis and misdiagnosis of coronary heart disease. Therefore, how to improve the diagnosis of pulmonary heart disease with coronary heart disease is yet to be further studied in the future a subject. From April 1972 to May 1982 in our hospital cor pulmonale ward cardiopulmonary patients with 772 cases of elderly patients with pulmonary heart disease in 450 cases, which accompanied with coronary heart disease in 35 cases to talk about the diagnosis of some experience.