论文部分内容阅读
为探讨老年煤工尘肺继发慢性阻塞性肺疾病(COPD)合并左心衰竭的特点及诊治,我们对出现了左心衰竭的31例老年煤工尘肺病人临床资料进行回顾性分析。该组病人平均年龄为77.3岁,均继发COPD。发生左心衰竭的诱因多样,多数患者早期临床表现不典型,缺乏心衰典型症状与体征,极易造成误诊。提示,对患者出现端坐呼吸、夜间咳嗽气促加重、心律失常、平喘效果不理想等症状体征时,要考虑到是否有左心衰竭存在,治疗首先根据病人心功能情况选择性采用利尿、扩血管、强心等治疗及时纠正心衰,同时施以抗炎、平喘、通畅气道等治疗。
To investigate the characteristics and diagnosis and treatment of COPD with left heart failure in elderly coal worker’s pneumoconiosis, we retrospectively analyzed the clinical data of 31 elderly coal workers with pneumoconiosis who had left heart failure. The average age of the patients in this group was 77.3 years old, all of whom had secondary COPD. The causes of left heart failure occur diversified, most patients with early clinical manifestations of atypical, the lack of typical symptoms and signs of heart failure, can easily lead to misdiagnosis. Tip, the patient appears to sit and breathe, nighttime cough and aggravating aggravating, arrhythmia, asthma and other symptoms and signs are not ideal, to consider whether there is left heart failure, the treatment of patients with heart function based on the selective use of diuretic, Vasodilator, cardiac and other treatment promptly correct heart failure, at the same time exert anti-inflammatory, asthma, smooth airway and other treatment.