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本文报告广州市结核病院急诊室1976年3月～1977年底收治的肺结核合并肺心病心衰100例,其中80例资料较完整,着重分析这组病例的体征、X线征及心电图,以探讨肺结核合并肺心病的诊断问题。80例中,男女之比为3∶1。年龄50岁以上占62.5%。职业中工人占65%。患肺结核病龄从14天～25年,平均12.4年,6～25年占90%。病型以浸润型和慢性纤维空洞型占绝大多数(79/80例)。心衰诱因95%为上炎或肺部混合感染。病死率为31.65%,好转率(心衰控制)为68.35%。体征中,呼吸>25次(87.5%),发绀92.5%,心率>100次(71.2)%,心律不整21%,剑突下搏动67.5%,剑突下收缩期杂音21%,P_2>A_240%,下肢浮肿88.7%,颈静脉怒张91.2%,肝颈静脉征阳性55%。气促、剑突下
This article reports the emergency department of Guangzhou Tuberculosis Hospital from March 1976 to the end of 1977, 100 cases of pulmonary heart disease with pulmonary heart disease, of which 80 cases more complete data, focusing on the group of patients with signs, X-ray and ECG to explore the tuberculosis Diagnosis of pulmonary heart disease. In 80 cases, the ratio of male to female was 3: 1. Age over 50 accounted for 62.5%. Occupation workers accounted for 65%. Patients suffering from pulmonary tuberculosis from 14 days to 25 years, an average of 12.4 years, 6 to 25 years accounted for 90%. The majority of infiltrates and chronic fibrous cavities accounted for 79/80 cases. 95% of the causes of heart failure is inflammation or mixed lung infection. Case fatality rate was 31.65%, improvement rate (heart failure control) was 68.35%. Signs, breathing 25 times (87.5%), cyanosis 92.5%, heart rate> 100 times (71.2%), arrhythmia 21%, xiphoid beating 67.5%, systolic murmur 21%, P 2> A 2 40% , Edema of the lower extremity 88.7%, jugular vein engorgement 91.2%, and positive hepatic jugular vein 55%. Shortness of breath, xiphoid