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目的探讨消化道出血并慢性肺源性心脏病临床治疗效果。方法我院共治疗慢性肺源性心脏病患者403例,其中84例患者合并有消化道出血,作为观察组。同时选择同时期的未合并消化道出血的慢性肺源性心脏病患者84例作为对照组。结果慢性肺源性心脏病的患者并发消化道出血的机率比较大,本组研究的403例患者中,共有84例患者合并有消化道出血,发生率为20.84%。观察组患者的好转率明显低于对照组患者(P<0.05),具有统计学意义,死亡率明显高于对照组患者(P<0.05)。结论慢性肺源性心脏病患者合并消化道出血病情比较危重,需要在基础治疗上尽量早期给予患者质子泵抑制剂和H2受体阻滞剂治疗,可以有效的提高患者的治疗效果,值得临床推广。
Objective To investigate the clinical effects of gastrointestinal bleeding and chronic cor pulmonale. Methods A total of 403 patients with chronic cor pulmonale were treated in our hospital, of which 84 patients had gastrointestinal bleeding as the observation group. At the same time, 84 patients with chronic cor pulmonale who did not have gastrointestinal bleeding in the same period were selected as the control group. Results Patients with chronic cor pulmonale were more likely to have digestive tract bleeding. Of 403 patients in this study, 84 patients had gastrointestinal bleeding with a rate of 20.84%. The improvement rate of the observation group was significantly lower than that of the control group (P <0.05), with statistical significance, the mortality rate was significantly higher than that of the control group (P <0.05). Conclusion Patients with chronic cor pulmonale complicated by gastrointestinal bleeding are in critical condition. Proton pump inhibitors and H2 blockers need to be given to patients as soon as possible on the basis of basic treatment, which can effectively improve the therapeutic effect of the patients and is worthy of clinical promotion .