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肺心病伴发急性心肌梗塞(AMI),多病情危生,死亡率高。但文献中专题报道较少。本文介绍我们临床工作中所遇到的7例,并略加讨论,以引起同道重视。1 临床资料 本组7例均为临床上已明确诊断为慢性肺原性心脏病的患者,因AMI入院,或在肺心病住院过程中发生AMI。肺心病及AMI的诊断,分别依据1977年全国肺心病会议及WHO制订的标准。除病史、症状外,肺心病者均有心电图或X线显示右室肥厚的证据;AMI则具有典型的酶学改变及心电图动态演
Pulmonary heart disease with acute myocardial infarction (AMI), many more critically ill, high mortality. However, there are few special reports in the literature. This article describes the seven cases we encountered in clinical work, and a little discussion, to attract the same attention. 1 Clinical data The group of 7 patients were clinically diagnosed as patients with chronic pulmonary heart disease, because of AMI admission, or pulmonary heart disease in the hospital during AMI. Pulmonary heart disease and AMI diagnosis, respectively, based on the 1977 National Conference on Cor Pulmonary and WHO set the standard. In addition to medical history, symptoms, pulmonary heart disease have ECG or X-ray evidence of right ventricular hypertrophy; AMI has a typical enzymatic changes and ECG dynamic performance