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目的探讨冠心病合并肺心病的诊断依据和处理特点。方法总结127例冠心病合并肺心病的临床表现、心电图、X线摄片、超声心动图以及治疗资料并进行分析。结果肺心病出现典型心绞痛、心肌梗死,心电图左心导联动态缺血性改变、左前半或完全性左束支传导阻滞,反复出现左心衰竭伴有左心扩大者,应考虑合并冠心病。处理时要在常规治疗的基础上区别对待。结论冠心病合并肺心病预后不好,鉴别诊断和不同的治疗重点非常重要。
Objective To investigate the diagnosis and treatment characteristics of coronary heart disease complicated with pulmonary heart disease. Methods The clinical manifestations, electrocardiogram, radiography, echocardiography and treatment data of 127 patients with coronary heart disease complicated with pulmonary heart disease were summarized and analyzed. Results pulmonary heart disease typical angina pectoris, myocardial infarction, ECG left ventricular ischemic changes, left or partial left bundle branch block, repeated left ventricular failure with left ventricular enlargement should be considered in patients with coronary heart disease . Treatment should be treated differently on the basis of conventional treatment. Conclusions The prognosis of coronary heart disease complicated with pulmonary heart disease is not good, and differential diagnosis and different treatment focuses are very important.