老年与老年前期胆心综合征30例临床分析  

Clinical analysis of 30 senile and pre-senile patients with gallbladder-cardiac syndrome

作　　者：崔洁[1] 赵泽亮[1] 罗宙红[1] 

机构地区：[1]新疆医科大学附属肿瘤医院急诊科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2004年第4期413-414,共2页Journal of Xinjiang Medical University

摘　　要：目的:探讨老年与老年前期胆心综合征的诊治经验。 方法 :对 30例老年与老年前期胆心综合征患者临床资料进行回顾性分析。 结果:30例胆心综合征患者 ,老年 2 2例 (73.3% ) ,老年前期 8例 (2 6 .7% ) ;2 7例外科胆道手术治疗患者术后心脏症状消失 ,心电图检查正常 ;3例应用解痉药患者临床症状好转或消失。结论 :对老年前期和老年患者诊断冠心病时应注意是否同时患有胆道疾病 ;诊断为胆道疾病时应进一步检查有无冠心病。胆心综合征的治疗要二者兼顾 ,高龄不能视为手术的禁忌证。Objective: To explore the experience on diagnosis and treatment of gallbladder-cardiac syndrome. Methods: Retrospective analysis on the 30 senile and pre-senile patients with this syndrome. Results: Patients with the syndrome of gallbladder-heart account for 12.9% in the senile group and 7.8% in the pre-senile group. The senile was more liable to sufferring from this syndrome than pre-senile ( P <0.05). Operation on this syndrome had much more efficient. The heart symptoms of 27 patients disappeared after the treatment of surgical biliary operation,ECG shows normal,and the clinical symptoms of 3 patients with relieve spasam drugs got better or disappeared. Conclusions: It should be paid attention to whether people have biliary disease at the time when they are diagnosed coronary atherosclerotic heart disease(CAD);People with biliary disease should take further examination to see whether they have CAD. Both side should be considered when the syndrome is treated . The advanced age should not be thought as the restriction of operation.

关 键 词：老年 老年前期 胆心综合征 

分 类 号：R541[医药卫生—心血管疾病] R575.7[医药卫生—内科学]