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慢性肺原性心脏病(以下简称肺心病)和冠态动脉粥样硬化性心脏病(以下简称冠心病)均是中、老年的常见多发病,且易伴发。单发与伴发不仅治疗方法不同,而且预后也不一样。但两者临床症状、体征、实验室检查等经常容易重叠与混淆,造成诊断上的困难。如果能探讨出一个简易可靠的诊断肺心病伴发冠心病的方法,对于指导临床实践是很有意义的。为此,现将湖北省肺心病协作组分别按全国肺心病和冠心病诊断标准确诊的40例肺心病伴发冠心病作如下分析。
Chronic pulmonary heart disease (hereinafter referred to as pulmonary heart disease) and coronary atherosclerotic heart disease (hereinafter referred to as coronary heart disease) are common in middle-aged and elderly, and easy to accompany. Single and associated with not only the treatment is different, but the prognosis is not the same. However, the clinical symptoms, signs, laboratory tests and so on are often easy to overlap and confuse, resulting in diagnostic difficulties. If we can explore a simple and reliable method of diagnosing pulmonary heart disease with coronary heart disease, it is very significant for guiding clinical practice. To this end, now Hubei Province, pulmonary heart disease collaborative group were diagnosed by the national standard of pulmonary heart disease and coronary heart disease diagnosis of 40 cases of pulmonary heart disease with coronary heart disease for the following analysis.