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慢性肺原性心脏病合并冠心病目前无统一的诊断标准,各地尸检率高,诊断率低。本文通过对178例肺心病中46例诊为肺心冠心病的临床分析,提出该病与单纯肺心病的区别。心前区痛含服硝酸甘油类药物有效。出现用肺心病不能解释的心脏体征,X线有主动脉影改变,心电图轴多正常。特别强调要动态观察临床症的症状、体征和心电图的各种改变。
Chronic pulmonary heart disease with coronary heart disease currently no uniform diagnostic criteria around the high autopsy, the diagnosis rate is low. In this paper, 178 cases of pulmonary heart disease in 46 cases diagnosed as pulmonary heart disease clinical analysis, put forward the difference between this disease and simple pulmonary heart disease. Pre District heart ache nitroglycerin effective drugs. Appeared with pulmonary heart disease can not explain the heart signs, X-ray changes in aortic shadow, ECG axis more normal. Special emphasis should be dynamic observation of clinical symptoms, signs and ECG changes.