目的分析慢性肺源性心脏病并发脑梗死患者的临床特点。方法对已确诊的32例肺心病合并脑梗死患者的临床资料进行回顾性分析。结果肺心病合并脑梗死发病率为4.7%,患者表现多不典型,确诊有赖于CT检查。结论肺心病合并脑梗死的临床表现多不典型,及时行CT检查对明确诊断极为重要。 Objective To analyze the clinical features of patients with chronic cor pulmonale complicated by cerebral infarction. Methods The clinical data of 32 patients with pulmonary heart disease complicated with cerebral infarction confirmed by retrospective analysis were retrospectively analyzed. Results The incidence of pulmonary heart disease complicated with cerebral infarction was 4.7%. Most of the patients showed atypical features. The diagnosis was confirmed by CT. Conclusions The clinical manifestations of pulmonary heart disease combined with cerebral infarction are mostly atypical, and timely CT examination is very important for the definite diagnosis.