老年慢性肺源性心脏病合并冠状动脉粥样硬化性心脏病临床分析

目的探讨老年慢性肺源性心脏病（简称肺心病）合并冠状动脉粥样硬化性心脏病（简称冠心病）的临床特点。方法将老年肺心病患者232例根据是否合并冠心病分为观察组（合并冠心病）和对照组（不合并冠心病），将两组临床资料进行对比分析。采用SPSS13．0统计软件进行数据处理，计量资料采用t检验，计数资料采用x2检验，以P〈0．05为差异有统计学意义。结果观察组（n=42）年龄较大，病程较长，吸烟指数较大，心功能分级（NYHA）以Ⅲ、Ⅳ级偏多，合并症较多，住院天数长，死亡率高，与对照组比较差异均有统计学意义（P〈0．05）。结论老年肺心病合并冠心病患者病情较复杂，诊断必须结合病史、冠心病的危险因素、临床表现。且病情重、病程长、病死率高。

Clinical analysis of chronic cor pulmonale in elderly merge coronary atherosclerotic heart disease

Objective To discuss the clinical features of chronic cor pulmonale （ i. e. cor pulmonale） in elderly combined c6ronary atherosclerotic heart disease （ i. e. coronary heart disease）. Methods Older patients with cor pulmonale 232 cases of coronary heart disease according to whether the merger was divided into the observation group（ patients with coronary heart disease）and the control group（ exclu- ding patients with coronary heart disease） ,two sets of clinical data were analyzed. SPSS 13.0 statistical software for data processing was used, measurement data used t test, count data used X2 test to P 〈 0. 05 for the difference statistically significant. Results The age of the observation group（ n = 42） was old, the course was long, the smoking index was big, the heart function grades（NYHA） by Ⅲ, Ⅳ level were many, the complications were many, in hospital number of days was long, the mortality rate was high, had statistics significance with the control group comparison difference （P 〈 0. 05 ）. Conclusion The old age cor pulmonale merge coronary heart disease patient condition is complex, the diagnosis must unify the medical history, coronary heart disease＇s hazard factor, the clinical manifestation. And the condition is serious, the course is long, the case fatality rate is high.