慢性肺源性心脏病并冠心病32例防治探讨

[目的]探讨慢性肺源性心脏病并冠心病的临床表现和防治措施。[方法]回顾分析32例确诊的慢性肺心病并冠心病患者的临床资料。急性发作期在综合治疗基础上加用大环内酯类抗生素,并根据病情予溶栓、抗凝、有创或无创机械通气等处理,缓解期随诊予长期口服抗血小板凝集药,长期家庭氧疗、无创双水平气道正压(BiPAP)通气以改善心肺功能;伴血脂增高的肺冠心病患者应予低脂饮食及口服降脂药干预。[结果]经治疗后显效10例(占31.3%);有效14例(占43.7%);无效8例(占25%),其中死亡4例(占12.5%)。[结论]肺心病并冠心病的长期防治和随诊非常重要,坚持长期家庭氧疗可减少再住院率。

CLINICAL ANALYSIS OF 32 CASES OF CHRONIC PULMONARY HEART DISEASE COMBINED WITH CORONARY ARTERY DISEASE

[Objective]To investigate the methods for the management of chronic pulmonary heart disease combined with coronary artery disease.[Methods]The patients were treated with antithrombotic therapy and non-invasive ventilation or invasive ventilation at acute attack stage.The patients were treated with antiplatelet aggregation therapy,oxygen therapy,non invasive BiPAP at remission stage.For patients with high cholesterol should receive lipid lowering therapy.[Results]The response rate was 31.3%,the effective rat...