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目的分析慢性肺源性心脏病并发脑梗死患者的早期预防、临床诊断、治疗与预防。方法对13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生率为5.46%,治疗有效率58.30%。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,对肺心病急性加重期患者入院时检查血液流变学及D-二聚体能做到早期预防脑梗死的发生,及时行头颅CT检查对明确诊断极为重要。
Objective To analyze the early prevention, clinical diagnosis, treatment and prevention of patients with chronic cor pulmonale complicated by cerebral infarction. Methods The clinical data of 13 patients with pulmonary heart disease complicated with cerebral infarction were analyzed retrospectively. Results The incidence of pulmonary heart disease complicated with cerebral infarction was 5.46%, and the effective rate was 58.30%. Patients with atypical multi-diagnosis depends on the CT examination. Conclusions The clinical manifestations of pulmonary heart disease complicated with cerebral infarction are mostly atypical. The examination of hemorheology and D-dimer in admission to the patients with acute exacerbation of pulmonary heart disease can make early prevention of cerebral infarction, and the timely diagnosis of head CT Extremely important.