慢性肺心病合并冠心病41例临床分析

目的 探讨慢性肺心病（肺心病）合并冠心病的临床特点.方法 对41例肺心病合并冠心病患者（肺冠合并组）和30例单纯肺心病（单纯肺心组）进行临床比较、统计、分析临床特点及诊断方法.结果 在易患因素上,两组在长期吸烟、高血压、高脂血症、肥胖等有显著性差异（P＜0.05或P＜0.01）.在临床表现方面,其左心室肥大、双心室增大、合并左束枝传导阻滞,持续ST-T改变等均有显著性差异（P＜0.01）.结论 慢性肺心病患者如伴有高血压、糖尿病、肥胖、左心室肥大、持续ST-T改变,心梗/左心衰时,在排除少数相关疾病后即可临床诊断为肺心病合并冠心病.

Clinical analysis of 41 cases of chronic pulmonary heart disease complicated with coronary heart disease

Objective To investigate the clinical characteristics of chronic pulmonary heart disease （CPHD） complicated with coronary heart disease （CHD）. Methods The study selected 41 CPHD patients complicated with CHD as the study group and 30 pa- tients with CHD only as the control group. Their clinical characteristics and diagnostic methods were compared and analyzed. Results There existed significant difference on long-time smoking, hypertension, hyperlipidemia, and obesity between the two groups （P 〈 0. 05; P 〈 0. 01 ）. In terms of clinical manifestations, the two groups showed obvious differences on left ventricular hypertrophy, double ventricu- lar enlargement, left bundle branch block, and continuous STk-T change （ P 〈 0.01 ）. Conclusion When patients with chronic pulmo- nary heart disease are accompanied by hypertension, diabetes, obesity, left ventricular hypertrophy, continuous ST-T change, acute or chronic myocardial infarction, and left heart failure, they can be diagnosed as chronic pulmonary heart disease complicated with coronary heart disease.