慢性肺源性心脏病患者急性心肌梗死特征及临床分析

目的探索慢性肺源性心脏病患者并发急性心肌梗死的临床特征。方法将笔者所在科室2007年3月～2010年9月期间收治的54例慢性肺源性心脏病伴发AMI患者与48例单纯AMI患者的临床诊疗资料进行回顾性对照分析。结果在室性早搏及传导阻滞方面，慢性肺源性心脏病组较非慢性肺源性心脏病组有着较高的发生率，均P〈0．05；在并发心律失常及心力衰竭方面，慢性肺源性心脏病组的发生率显著高于非慢性肺源性心脏病组，P〈0.05；两组患者在其他并发症的发生率方面比较差异无统计学意义，P〉0．05。结论慢性肺源性心脏病患者突发心律失常、急性左心衰或心源性休克时，应高度重视伴发AMI的可能性。

Characteristics and clinical analysis of acute myocardial infarction with chronic pulmonary heart disease

Objective To investigate patients with chronic pulmonary heart disease, clinical features of acute myocardial infarction. Methods In our department from March 2007 to September 2010,54 patients were treated during the chro- nic pulmonary heart disease complicated with AMI AMI patients and 48 patients with clinical diagnosis alone were retrospectively compared and analyzed. Results In terms of ventricular premature beats and conduction block,chronic pulmonary heart disease group than in non - chronic pulmonary heart disease group had a higher incidence of both P 〈0. 05 ;in arrbythmia and heart failure, chronic pulmonary heart disease group were significantly higher than non - chronic pulmonary heart disease group,P 〈0.05 ;two groups of patients in the incidence of other complications is no significant difference,P 〉0. 05. Conclusion Patients with chronic pulmonary heart disease sudden cardiac arrhythmia, acute left ventricular failure or cardiogenic shock, high priority should be associated with the possibility of AMI.