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肺心病并发左心功能不全或肺水肿一直是临床医师讨论的热点,其肺实质及心脏的X线改变已为大家所熟悉,但对胸膜改变的观察分析未见明确报道。我们对34例肺心病并左心功能不全X线胸膜改变进行统计分析如下。1 临床资料1．1 病例选择我院1994~1998年共收治肺心病256例,均符合1977年全国肺心病会议制订的诊断标准。并发左心功能不全39例,占15.2%,依据X线检查、临床症状和(或)体征以及对针对性治疗的反应得以确诊,其中5例因胸片资料不全予以剔除,实际观察病例34例。男24例,女10例,年龄61~81岁,平均69岁。其中并发冠心病15例,并发高血压病6例,余13例
Pulmonary heart disease complicated with left ventricular dysfunction or pulmonary edema has been a hot discussion of clinicians, the pulmonary parenchyma and cardiac X-ray changes have been familiar to everyone, but the observation and analysis of pleural changes have not been clearly reported. We have 34 cases of pulmonary heart disease and left ventricular dysfunction X-ray pleural changes were analyzed as follows. 1 Clinical data 1.1 Case Selection Our hospital from 1994 to 1998 were treated 256 cases of pulmonary heart disease, are in line with the National Conference of Pulmonary Heart Disease in 1977 developed diagnostic criteria. According to the X-ray examination, the clinical symptoms and / or signs and the response to the targeted treatment were confirmed. Among them, 5 cases were excluded due to incomplete radiographs of the chest. 34 cases were actually observed . 24 males and 10 females, aged 61 to 81 years, mean 69 years. Including coronary heart disease in 15 cases, complicated by hypertension in 6 cases, more than 13 cases