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目的:分析慢性肺源性心脏病合并冠心病的临床特征,探讨有效治疗方案。方法:选取2013年8月~2015年7月之间于我院接受治疗的慢性肺源性心脏病患者200例,合并冠心病者100例,设为观察组,其余100例设为对照组,回顾性分析其临床资料,总结其临床症状、心电图检查的特点与治疗效果。结果:入院时观察组伴有呼吸困难、左心室增大、心绞痛的患者分别占73.0%、77.0%和83.0%,高于对照组,P<0.05;观察组心电图出现传导阻滞、电轴左偏、缺血性ST左偏的患者分别占19.0%、38.0%和87.0%,高于对照组,P<0.05;对照组治疗的总有效率为96.0%,高于观察组(85.0%),P<0.05。结论:慢性肺源性心脏病合并冠心病患者多伴有呼吸困难、左心室增大、心绞痛症状,心电图特征明显,预后效果差,临床医师应科学把握诊断依据,制定有针对性的治疗方案,改善临床疗效。
Objective: To analyze the clinical characteristics of patients with chronic cor pulmonale complicated with coronary heart disease and to explore the effective treatment plan. Methods: Two hundred and twenty patients with chronic cor pulmonale who were treated in our hospital from August 2013 to July 2015 were enrolled. One hundred patients with coronary heart disease were selected as observation group and the other 100 as control group. Retrospective analysis of its clinical data, summary of its clinical symptoms, ECG characteristics and treatment. Results: On admission, the patients with dyspnea, left ventricular enlargement and angina pectoris accounted for 73.0%, 77.0% and 83.0% respectively, which was higher than that of the control group (P <0.05). The electrocardiogram P <0.05). The total effective rate of the control group was 96.0%, which was higher than that of the observation group (85.0%), and the left side of the ischemic ST was 19.0%, 38.0% and 87.0% P <0.05. Conclusion: Patients with chronic cor pulmonale and coronary heart disease often have dyspnea, left ventricular enlargement, angina pectoris, obvious ECG characteristics and poor prognosis. Clinicians should scientifically grasp the diagnosis basis and formulate targeted treatment plans. Improve clinical efficacy.