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目的对于慢性肺源性心脏病合并冠心病患者的临床特点进行观察分析。方法选取156例慢性肺源性心脏病合并冠心病患者为研究对象,回顾性分析其临床资料,首先对患者进行专业的护理和综合治疗,然后观察患者临床征象的变化特点。结果经治疗后156例患者显效86例(55.13%),好转53例(33.97%),无效12例(7.69%),死亡5例(3.21%),总有效率为89.1%。患者出现频发室性早搏(频发室早)38例(24.36%),心脏彩超右心室扩大156例(100.00%)、左心室扩大95例(60.89%)、主动脉弓迂曲40例(25.64%)。结论慢性肺源性心脏病合并冠心病患者具有复杂的临床表现,研究和分析其临床特点有助于指导临床,以便综合治疗,改善患者预后。
Objective To observe and analyze the clinical features of patients with chronic cor pulmonale complicated by coronary heart disease. Methods A total of 156 patients with chronic cor pulmonale and coronary heart disease were enrolled in this study. The clinical data were retrospectively analyzed. First, the patients were professionally treated and treated comprehensively, and then the characteristics of clinical signs were observed. Results After treatment, 156 cases were markedly effective in 86 cases (55.13%), 53 cases (33.97%) were improved, 12 cases (7.69%) were ineffective, and 5 cases (3.21%) died. The total effective rate was 89.1%. Among them, 38 cases (24.36%) had frequent premature ventricular contractions (LVDR), 156 cases (100.00%) enlarged left ventricle, 95 cases (60.89%) left ventricular enlargement, 40 cases (25.64% . Conclusions Patients with chronic cor pulmonale and coronary heart disease have complicated clinical manifestations. To study and analyze the clinical features of these patients is helpful to guide the clinical treatment so as to improve the prognosis of the patients.