| 老年人慢性肺心病伴发急性心肌梗死的临床特点 |
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| 引用本文： | 江山平,廖增顺,刘启良,李建国.老年人慢性肺心病伴发急性心肌梗死的临床特点[J].新医学,1998,29(5):246-247. |
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| 作者姓名： | 江山平 廖增顺 刘启良 李建国 |
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| 作者单位： | 中山医科大学孙逸仙纪念医院呼吸内科,510120 |
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| 摘 要： | 目的：探讨老年人慢性肺心病伴发急性心肌梗死（ＡＭＩ）的临床特点，方法：对老年慢性肺心病伴发ＡＭＩ４０例（Ａ组）的ＡＭＩ行回顾性分析，以同期收治的老年单纯冠心病ＡＭＩ２８９例（Ｂ组）作对照。结果：Ａ组疼痛发生率（４０．０％）显著低于Ｂ组（７６．８％）Ａ组急性左心衰，心源性休克发生率显著高于Ｂ组，分别为６０．０％与２４．２％，４７．５％与２２．５％，（Ｐ〈０．０１）；Ａ组病死率（４２．５％）显著高于Ｂ
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| 关 键 词： | 肺源性心脏病 慢性 心肌梗死 急性 临床表现 |
Clinical feature of acute myocardial infarction in elderly patients with cor pulmonale |
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| Jiang Shanping,Liao Zengshun,Liu Qiliang.Clinical feature of acute myocardial infarction in elderly patients with cor pulmonale[J].New Chinese Medicine,1998,29(5):246-247. |
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| Authors: | Jiang Shanping Liao Zengshun Liu Qiliang |
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| Institution: | Jiang Shanping,Liao Zengshun,Liu Qiliang. Department of Respiratory Disease,Sun Yat Sen Memorial Hospital,Guangzhou,510120 |
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| Abstract: | Objective: To investigate the clinical feature of acute myocardial infarction (AMI) in elderly patients with cor pulmonale. Method: The manifestation of AMI in 40 elderly patients with cor pulmonale (group A) was compared to that of 289 aged matched patients with AMI only (group B). Results: The incidence of chest pain in group A (40 0%) is significantly lower than that in the group B (76 8%). The incidence of acute left heart failure and cardiogenic shock in group A (60 0% and 47 5%) is significantly higher than these in the group B (24 2% and 22 5%). The mortality in group A (42 5%) is also significantly higher than that in group B (18 3%). There was no relativity between the location of AMI and cor pulmonale. Conclusion: AMI should be suspected in elderly patients with cor pulmonale complicated with sudden acute left heart failure and cardiogenic shock. |
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| Keywords: | Pulmonary heart disease chronic Myocardial infarction acute Clinical manifestation |
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