| 老年慢性肺心病伴发急性心肌梗死的分析 |
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| 引用本文： | 顾彬.老年慢性肺心病伴发急性心肌梗死的分析[J].泰州职业技术学院学报,2005,5(6):45-46. |
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| 作者姓名： | 顾彬 |
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| 作者单位： | 江苏省泰州市人民医院急诊科,江苏,泰州,225300 |
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| 摘 要： | 目的探讨老年慢性肺心病伴发急性心肌梗死(AMI)的临床特点.方法对66例老年慢性肺心病伴发AMI的病人(A组)进行分析,并与老年单纯冠心病AMI152例(B组)作比较.结果A组疼痛发生率(45.4%)显著低于B组(83.9%)(p＜0.01),A组急性左心衰、心源性休克发生率显著高于B组,分别为53.1%与25.0%,48.4%与21.7%(p＜0.05),A组病死率(42.4%)显著高于B组(15.7%),肺心病对其伴发AMI的发生部位无影响.结论对老年肺心病患者突然发生的急性左心衰和/或心源性休克应高度警惕伴发AMI的可能.
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| 关 键 词： | 老年 慢性肺心病 急性心肌梗死 |
| 文章编号： | 1671-0142(2005)06-0045-02 |
The Analysis of Elder Patients with Chronic Pulmonary Heart Disease Complicated with Acute Myocardial Infarction |
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| GU Bin.The Analysis of Elder Patients with Chronic Pulmonary Heart Disease Complicated with Acute Myocardial Infarction[J].Journal of Taizhou Polytechnical Institute,2005,5(6):45-46. |
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| Authors: | GU Bin |
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| Abstract: | Objective To evaluate the clinical characteristics of elder patients with chronic pulmonary heart disease complicated with acute myocardial infarction(AMI).Methods sixty-six elder patients with chronic pulmonary heart disease complicating with AMI(group A as study)were analyzed and compared with 152 elder patients with coronary heart disease complicating with AMI(group B as control).Results The chest pain rate in group A(45.4%)was lower than in group B(83.9%)significantly,p<0.01.Acute left heart failure and cardiogenic shock rates in group A was higher than in group B.Acute left heart failure rates were 53.1% and 25.0% respectively.Cardiogenic shock rates were 48.4% and 21.7% respectively,p<0.05.The mortality(42.4%) in group A was more than in group B(15.7%).The pulmonary heart disease has no effect on zone where AMI occurred.Conclusion The elder chronic pulmonary heart disease patients with acute left heart failure and/or cardiogenic shock may complicate with AMI. |
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| Keywords: | Elder Chronic pulmonary heart disease Acute myocardial infarction |
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