| 105例老年慢性肺源性心脏病的临床观察 |
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| 引用本文： | 唐文清.105例老年慢性肺源性心脏病的临床观察[J].中外医疗,2009,28(4):21-22. |
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| 作者姓名： | 唐文清 |
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| 作者单位： | 湖南省邵阳市第二人民医院,湖南邵阳,422000 |
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| 摘 要： | 目的探讨老年慢性肺源性心脏病的特征。方法选取105例老年（≥60岁）慢性肺源性心脏病患者作为观察组，50倒非老年慢性肺心病患者作为对照组，对其临床特征进行回顾性对照分析。结果老年肺心病组患者好转率明显低于对照组，老年组呼吸衰竭及心力表竭的发生率明显高于对照组。老年组应用坎地沙坦和低分子肝素治疗效果好。结论老年肺心病患者病情变化复杂，早期诊断，早期治疗、积极预防并发症是提高疗效的关键，坎地沙坦联合低分子肝素可以在临床中应用。
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| 关 键 词： | 慢性疾病 肺源性心脏病 并发症 诊断 治疗 |
The Clinical Observation on 105 Elderly Patients with Choric Pulmonary Heart Disease |
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| Abstract: | Objective To study the clinical characteristics of elderly patients with choric pulmonary heart disease.Methods The study included 105 elderly cases as observation group and 50 non-elderly cases as control group.We analyzed retrospectively their clinical characteristics.Results The total improvement rate were obviously higher in the non-elderly group than in the elderly group.The incidence of pulmonary encephalopathy and heart failure were higher in the elderly group than in the non-elderly group.Candesartan and low molecular weight heparin was effective in elderly treating group.Conclusion The early diagnosis and treatment will be help to improving their curative effect in elderly patients with choric pulmonary heart disease.Prevention of complication are important to improve treatment.Treatment of candesartan and low molecular weight heparin is worthy of being recommended in patients with elderly patients. |
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| Keywords: | Chronic disease Pulmonary heart disease Complication Diagnosis Treatment |
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