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目的:研究分析老年慢性肺源性心脏病合并冠心病临床特点。方法:选取我院2012年12月~2014年10月收治的慢性肺源性心脏病老年患者89例,根据患者病症分为观察、对照两组。观察组46例,均为慢性肺源性心脏病合并冠心病,对照组43例,均为单纯性慢性肺源性心脏病,将两组患者的临床表现症状、心电图检测情况进行比较。结果:观察组患者发生呼吸困难、心绞痛以及心肌梗死等临床症状明显高于对照组,心电图检测结果比较,观察组缺血性ST-T异常、电轴左偏以及陈旧性心肌梗死的发生率明显高于对照组(P<0.05)差异有统计学意义。结论:准确掌握老年慢性肺源性心脏病合并冠心病临床特点,帮助临床医生对疾病进行正确判断,能够有效避免发生误诊情况,对疾病早期治疗具有重要作用。
Objective: To study the clinical features of elderly patients with chronic cor pulmonale complicated by coronary heart disease. Methods: A total of 89 elderly patients with chronic cor pulmonale admitted from December 2012 to October 2014 in our hospital were selected and divided into two groups according to their symptoms. 46 cases in the observation group were both chronic cor pulmonale with coronary heart disease and 43 cases in the control group, all of them were simple chronic cor pulmonale. The clinical manifestations and ECG were compared between the two groups. Results: The clinical symptoms such as dyspnea, angina pectoris and myocardial infarction in the observation group were significantly higher than those in the control group. The results of electrocardiogram showed that the incidence of ischemic ST-T abnormality, left axial deviation and old myocardial infarction were significantly higher in observation group Higher than the control group (P <0.05) the difference was statistically significant. Conclusion: Accurately grasping the clinical characteristics of elderly patients with chronic cor pulmonale complicated with coronary heart disease, helping clinicians to correctly judge the disease, effectively avoiding the misdiagnosis and playing an important role in the early treatment of the disease.