慢性肺源性心脏病合并冠心病15例临床分析

目的探讨慢性肺源性心脏病合并冠心病的临床特点及诊断。方法将慢性肺源性心脏病合并冠心病患者15例的临床资料进行分析。结果慢性肺源性心脏病合并冠心病典型心绞痛发生率低，胸闷、心悸多见，多发生持续性的心律失常，心界多向左或左下扩大，心电轴多不偏或左偏，持续缺血性ST-T改变多见。结论慢性肺源性心脏病合并冠心病时症状、体征相互掩盖，使病情更加复杂，病死率、漏误诊率高，故明确诊断非常重要。

Clinical Analysis of Chronic Pulmonary Heart Disease with Coronary Heart Disease

Objective To explore the clinical characteristic and diagnosis of the chronic pulmonary heart disease with chronic pulmonary heart disease. Methods The clinical data of the fifteen cases of chronic pulmonary heart disease with chronic pulmonary heart disease were analysed. Results The odds of getting angina were low in chronic pulmonary heart disease with chronic pulmonary heart disease, but chest tight, palpitation and persistent ventricular arrhythmias were common. The extension of the boundary of heart was much to left or the lower left. The axis in an electrocardiogragh usually doesn＇t pulled or to the left and persistent insufficient blood ST-T changes were common. Conclusion The symptoms of the chronic pulmonary heart disease with chronic pulmonary heart disease interact in a very complex way to cover up the illness. A positive diagnosis must be made because of the high rate of death and misdiagnosis.