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慢性肺原性心肺病(以下简称肺心病)的后期诊断并不困难,但早期诊断困难甚多,尤其是与不伴有肺心病的慢性阻塞性肺气肿的鉴别;诊断标准过严则假阴性增加,诊断标准过宽,则假阳性过多。标准虽经几度修改,但我们的体会其中某些方面仍有值得商讨之处,为达到早期诊断的目的,我院自1977年以来对80例慢性阻塞性肺部疾病患者,使用静脉穿刺的漂浮微导管技术,测定肺动脉及右心室压力,将肺动脉高压病人与肺动脉压正常者的各项临床指标,对照1977年第二次全国肺心病会议订定的各项诊断标准进行分析,从而对各项诊断标准进行分析及商讨。
Post-diagnosis of chronic pulmonary heart disease (hereinafter referred to as pulmonary heart disease) is not difficult, but the early diagnosis is very difficult, especially with non-pulmonary heart disease with chronic obstructive emphysema identification; diagnostic criteria are too strict Negative increase in diagnostic criteria is too wide, the false positive too much. Although the standard has been modified several times, but some of our experience is still worth discussing the Department, to achieve the purpose of early diagnosis, our hospital since 1977, 80 patients with chronic obstructive pulmonary disease, the use of venipuncture Floating microcatheter technique to measure the pulmonary artery and right ventricular pressure, the pulmonary hypertension patients and normal pulmonary arterial pressure of various clinical indicators, control of the Second National Conference of Pulmonary Heart Disease in 1977 set the diagnostic criteria for analysis of each Diagnosis criteria for analysis and discussion.