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目的探讨分析老年冠心病合并慢性肺源性心脏病的临床特点。方法将老年冠心病合并慢性肺源性心脏病的45例与同时期收治的单纯慢性肺源性心脏的心电图、胸片片、临床症状及并发症进行分析比较。结果慢性肺源性心脏病出现典型心梗、心绞,心电图sT-T导联动态缺血性改变、完全性左束支或左前半传导阻滞,且反复出现左心扩大伴左心衰竭,应考虑慢性肺源性心脏病合并冠心病。在常规治疗的基础上要及时针对性处理。结论老年冠心病合并慢性肺源性心脏病预后差,易误诊、漏诊,应及时鉴别诊断和针对性综合治疗,提高生存率。
Objective To investigate the clinical features of elderly patients with coronary heart disease complicated with chronic cor pulmonale. Methods 45 elderly patients with coronary heart disease complicated with chronic cor pulmonale were compared with the electrocardiogram, chest radiograph, clinical symptoms and complications of chronic pulmonary heart in the same period. Results The patients with chronic cor pulmonale showed typical myocardial infarction, cardiac arrhythmia, dynamic ischemic changes of sT-T electrocardiogram, complete left bundle branch or left anterior semilunar block, repeated left ventricular enlargement with left ventricular failure, Chronic pulmonary heart disease should be considered with coronary heart disease. In the conventional treatment based on timely and targeted treatment. Conclusion The elderly patients with coronary heart disease and chronic cor pulmonale have poor prognosis, misdiagnosis and missed diagnosis, and should be promptly differentiated and targeted comprehensive treatment to improve the survival rate.