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本文对32例肺心病尸检的病理检查结果与临床资料进行对照分析,发现如下特点:①慢性支气管炎、肺气肿仍是肺心病最常见的基础疾病,而多种基础肺疾病共存时,提示预后不良。②尸检肺心病伴冠心病的发生率是46.8%。③肺心病并肺水肿的发生率是31.2%,主要原因是伴冠心病,其次为风心病、左房瘤及肺心病本身的左心受累。④肺心病的多脏器受累主要是功能性损害,与低氧、二氧化碳潴留及心衰有关,其中以低氧的影响更大。
In this paper, 32 cases of pulmonary heart disease autopsy pathological examination results and clinical data were compared and found the following characteristics: ① chronic bronchitis, emphysema is still the most common underlying disease of pulmonary heart disease, and a variety of underlying lung disease co-exist, suggesting Poor prognosis. ② autopsy pulmonary heart disease with coronary heart disease incidence was 46.8%. The incidence of pulmonary heart disease and pulmonary edema was 31.2%, mainly due to coronary heart disease, followed by rheumatic heart disease, left atrial tumor and pulmonary heart disease itself left heart involvement. ④ multiple organ involvement of pulmonary heart disease is mainly functional impairment, and hypoxemia, carbon dioxide retention and heart failure, of which greater impact of hypoxia.