慢性肺心病合并非ST段抬高性心肌梗死20例临床分析  

Chronic Pulmonary Heart Disease with NSTEMI: Clinical Analysis of 20 Cases

作　　者：吕俊[1] 熊昊[1] 郭燕妮[1] 

机构地区：[1]四川省宜宾市第二人民医院呼吸内科,四川宜宾644000

出　　处：《中国医药指南》2016年第12期27-28,共2页Guide of China Medicine

摘　　要：目的分析慢性肺源性心脏病合并非ST段抬高性心肌梗死患者的临床诊断。方法对20例慢性肺源性心脏病合并非ST段抬高性心肌梗死患者的临床资料进行回顾分析。结果慢性肺源性心脏病合并非ST段抬高性心肌梗死发病率6.7%,治疗有效率80.0%。患者表现多不典型,确诊有赖于动态心电图及心肌坏死标志物检查。结论慢性肺心病合并心肌梗死的临床表现多不典型,及时行心电图及完善心肌坏死标志物的测定检查对明确诊断极为重要。Objective To analyze clinical diagnosis of chronic pulmonary heart disease with NSTEMI. Method 20 cases of pulmonary heart disease with myocardial infarction were analyzed retrospectively. Results The morbidity of pulmonary heart disease with NSTEMI is 6.7%, and treatment efficacy is 80.0%; the clinical manifestation is atypical, and definite diagnosis depends on ECG and cardiac biomarkers. Conclusions The clinical manifestation of diagnosis pulmonary heart disease with NSTEMI is atypical. It is urgent to have ECG and cardiac biomarker tests to confirm the diagnosis.

关 键 词：肺心病 心肌梗死 心肌坏死标志物 

分 类 号：R541.5[医药卫生—心血管疾病] R542.22[医药卫生—内科学]