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1991～1995年间我们应用卡托普利口服治疗慢性阻塞性肺病(COPD)发展为肺动脉高压(PAH)患者28例,效果较满意,报告如下。 1.临床资料 1.本组均选自住院病人COPD患者,男18例,女10例,年龄48～72岁,其中颈静脉怒张、肝颈静脉回流征阳性15例;胸骨左缘抬举样心尖搏动18例;第二心音分裂、肺动脉瓣区收缩期喷射性杂音3例;心三位片提示右心室增大、肺动脉段突出、右下肺动脉分支>17mm15例;ECG示右室曾大图形20例,UCG提示右室增大10例。
From 1991 to 1995, we applied captopril oral treatment of chronic obstructive pulmonary disease (COPD) in patients with pulmonary hypertension (PAH) in 28 patients, the effect is satisfactory, the report is as follows. 1. Clinical data 1. This group were selected from inpatients with COPD patients, 18 males and 10 females, aged 48 to 72 years, including jugular vein engorgement, hepatic jugular vein reflux were positive in 15 cases; left sternal lifts like Heart beating in 18 cases; the second heart sound splitting, pulmonary valve systolic ejection murmur in 3 cases; heart three films prompted right ventricular enlargement, pulmonary artery segment, right lower pulmonary artery branches> 17mm15 cases; ECG showed a large right ventricle 20 For example, UCG prompts right ventricular enlargement in 10 cases.