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目的 探讨慢性阻塞性肺疾病 (COPD)合并心衰的临床特点。方法 对我院近三年来收住院的 10 0例COPD患者 ,按其原发病的不同分为 :慢性支气管炎、肺气肿、慢性支气管炎合并肺气肿、支气管哮喘四组。然后对其心衰发生率及功能状态进行回顾性分析。结果 10 0例COPD患者中 ,男 6 2例 ,女 38例 ,合并心衰 6 4例 ,心衰发生率为 6 4%,其中原发病为慢性支气管炎合并肺气肿者心衰发病率最高为 38%,且病情较严重 ,心功能Ⅳ级者占 18%,又以右心衰竭为多见。结论 COPD是临床常见病 ,多发病 ,老年发病率高 ,合并症多 ,在其合并症中以心衰的发病率为最高 ,右心衰竭多见 ,病情复杂危重 ,应提高对本病的认识 ,早期预防 ,及时治疗。
Objective To investigate the clinical features of chronic obstructive pulmonary disease (COPD) complicated with heart failure. Methods A total of 10 COPD patients admitted to our hospital in the recent three years were divided into four groups: chronic bronchitis, emphysema, chronic bronchitis with emphysema and bronchial asthma. Then the incidence of heart failure and functional status were retrospectively analyzed. Results Among 10 0 COPD patients, 62 were male and 38 were female, with 64 cases of heart failure, and the incidence of heart failure was 64%. The incidence of heart failure was chronic bronchitis complicated with emphysema Up to 38%, and the more serious condition, heart function Ⅳ grade accounted for 18%, but also to the right heart failure is more common. Conclusion COPD is a common clinical disease, frequently-occurring disease, high incidence of the elderly, comorbidities, the incidence of heart failure in its complications as the highest, more common right heart failure, the condition is complicated and critical, and should raise awareness of the disease Early prevention, timely treatment.