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慢性肺原性心脏病和冠状动脉硬化性心脏病都是中、老年人的常见病、多发病.临床收治的肺心病或冠心病人中,往往发现两病同时存在.如肺心病患者除咳喘外,尚伴有胸闷、气短、心悸等症状,有的肺心病人心电图上单一表现左心室肥大,临床上容易忽视两病并存的诊断.造成漏诊、误诊.有的国外资料证明,两病并存诊断较困难,通过尸检证明:肺心病患者虽以左室受累为主,但左心房,右心室也有受累者.曾有报告,个别肺心病患者,可并发右心衰竭,而冠心病也可引起右室肥厚,因此不能单纯根据左、右心室肥厚作为两病的诊断依据.而临床上能否正确地诊断肺心病和冠心病并存,对治疗和预后都有重要的意义.
Chronic pulmonary heart disease and coronary heart disease are common in the elderly and frequently-occurring disease.Coronary heart disease or coronary heart disease were often found in both diseases, such as pulmonary heart disease in patients with cough Asthma is still accompanied by chest tightness, shortness of breath, palpitations and other symptoms, and some pulmonary heart disease on a single ECG of left ventricular hypertrophy, the clinical diagnosis of coexisting easily overlooked two. Misdiagnosis caused by misdiagnosis. Some foreign data prove that the two diseases Coexisting more difficult to diagnose, confirmed by autopsy: Although patients with pulmonary heart disease mainly left ventricular involvement, but left atrium, right ventricle also have been affected.Reportedly, individual pulmonary heart disease, may be complicated by right heart failure, coronary heart disease may also Causing right ventricular hypertrophy, it can not be based solely on left and right ventricular hypertrophy as the basis for the diagnosis of both diseases, and clinically correct diagnosis of pulmonary heart disease and coronary heart disease co-exist, both for the treatment and prognosis of great significance.