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目的对慢性肺源性心脏病右心衰竭合并肺栓塞临床特点进行分析。方法选取15例慢性肺源性心脏病右心衰竭合并肺栓塞患者,回顾性分析其临床资料。结果经过诊断分析,15例慢性肺源性心脏病右心衰竭合并肺栓塞患者中,咯血3例,胸痛2例,喘息2例,下肢水肿2例,昏厥1例,呼吸困难2例,心律失常2例。经治疗后,14例患者好转,1例患者死亡。结论慢性肺源性心脏病合并肺栓塞易致顽固性右心衰竭,临床表现不典型,易被原发病及并发症掩盖,漏诊率高,应引起临床重视。
Objective To analyze the clinical features of right heart failure and pulmonary embolism in patients with chronic cor pulmonale. Methods Fifteen patients with right heart failure and pulmonary embolism with chronic cor pulmonale were selected and their clinical data were retrospectively analyzed. Results After diagnosis, 3 cases of hemoptysis, 2 cases of chest pain, 2 cases of wheezing, 2 cases of wheezing, 2 cases of lower extremity edema, 1 case of syncope, 2 cases of dyspnea, arrhythmia 2 cases. After treatment, 14 patients improved, 1 patient died. Conclusions Chronic pulmonary heart disease complicated with pulmonary embolism is easy to cause refractory right heart failure. The clinical manifestations are not typical, easily concealed by primary diseases and complications, and the rate of misdiagnosis is high, which should be paid more attention to.