肺心病合并冠心病86例临床分析

目的 探讨肺心病合并冠心病的诊断依据和处理特点。方法 总结86例肺心病合并冠心病的临床表现、心电图、X线摄片、超声心动图以及治疗资料并进行分析。结果 肺心病出现典型心绞痛、心肌梗死，心电图左心导联动态缺血性改变、左前半或完全性左束支传导阻滞，反复出现左心衰竭伴有左心扩大，应考虑合并冠心病，处理时要在常规治疗的基础上区别对待。结论 肺心病合并冠心病预后不好，鉴别诊断和不同的治疗重点非常重要。

Clinical Analysis of 86 Cases of Pulmonary Heart Disease with Coronary Heart Disease

Objective To study the diagnostic foundation and characteristics of the treatment of corpulmonale with coronary heart disease.Methods Clinical manifestations of 86 cases of corpulmonale with coronary heart disease were summarized. The data of electrocardiograph, roentgenogram, echocardiogram and treatment were analysed.Results The patients with corpulmonale had obvious angina pectoris, myocardial infarction. There was ischemic change in the left chest joint of electrocardiogram, the left front branch conduction block or the complete left bunch conduction block, and left heart failure with left heart extension was consi- dered to become plicated with coronary heart disease.Patients should be treated with special consideration on the base of routine treatment. Conclusions The prognosis of corpulmonale with coronary heart disease is not good. It is very important to distinguish the conditions and to take different treatment measures.