CAJ | 학술논문

目的探讨慢性肺心病合并冠心病的临床特点和诊断依据,总结分析其治疗方法,从而提高临床诊断率、降低病死率.方法回顾性分析98例慢性肺心病合并冠心病患者的临床特点、心电图、X线摄片、超声心电图以及治疗资料.结果肺心病出现典型心绞痛、心肌梗死,心电图左心导联动态缺血性改变、左前半或完全性左束支传导阻滞,反复出现左心衰竭伴有左心扩大者,应考虑合并冠心病.处理时要在常规治疗的基础上区别对待.结论肺心病合并冠心病引起的心力衰竭患者,要根据诊断结果,在常规基础治疗的同时,针对病因与并发症取有效的个体化治疗措施进行处理,可获得较满意的临床效果.
목적 탐토만성폐심병합병관심병적림상특점화진단의거,총결분석기치료방법,종이제고림상진단솔、강저병사솔.방법 회고성분석98례만성폐심병합병관심병환자적림상특점、심전도、X선섭편、초성심전도이급치료자료.결과 폐심병출현전형심교통、심기경사,심전도좌심도련동태결혈성개변、좌전반혹완전성좌속지전도조체,반복출현좌심쇠갈반유좌심확대자,응고필합병관심병.처리시요재상규치료적기출상구별대대.결론 폐심병합병관심병인기적심력쇠갈환자,요근거진단결과,재상규기출치료적동시,침대병인여병발증취유효적개체화치료조시진행처리,가획득교만의적림상효과.
Objective To discuss the chronic pulmonary heart disease merge coronary artery disease's clinical characteristic and the diagnosis basis, then summarizes and analyzes its method of treatment,to improve the clinical diagnosis rates and reduce mortality. Methods Retrospective analyzing 98 cases of chronic pulmonary heart disease merge coronary artery disease patients' clinical characteristic, the electrocardiogram, X absorb the piece, the supersonic electrocardiogram and the treatment material. Results Pulmonary heart disease patients appear typical angina pectoris, myocardial infarction, 12-lead electrocardiography ischemic dynamic changes in ST-T segment, left anterior hemi block or CLBBB (Complete Left Bundle Branch Block), recurring the left heart failure with left heart amplification, we should consider merge coronary heart disease. When dealing with the disease, we must distinguish in the conventional treatment foundation. Conclusion Pulmonary heart disease merge coronary artery disease patients with heart failure, while taking conventional foundation treatment, aim at causes and complications to take effective measures to deal with individual treatment, can get a satisfactory clinical effect.