论文部分内容阅读
目的慢性阻塞性肺病(COPD)患者急性加重期合并急性心肌梗死的诊断分析。方法回顾分析2006年8月至2009年4月我科收治的COPD急性加重期合并急性心肌梗死患者7例的临床资料。结果 7例患者均有不同程度的喘憋加重,其中3例出现阵发性胸闷、胸骨后或心前区疼痛症状,出现急性心衰2例,7例患者中诊断ST段抬高型心肌梗死3例,并有动态演变,非ST段抬高型心肌梗死4例。结论若CK-MB升高超过正常上限2倍,肌钙蛋白阳性,且心肌酶谱动态演变符合急性心肌梗死规律,结合胸痛、低血压休克、心力衰竭等临床表现及典型心电图动态演变,就可诊断COPD合并急性心肌梗死。
Objective To analyze the diagnosis and treatment of acute exacerbation of chronic obstructive pulmonary disease (COPD) in patients with acute myocardial infarction. Methods The clinical data of 7 patients with acute myocardial infarction (COPD) exacerbated from August 2006 to April 2009 in our department were retrospectively analyzed. Results All 7 patients had different degrees of wheezing aggravating, including 3 cases of paroxysmal chest distress, sternum or precordial pain symptoms, acute heart failure in 2 cases, 7 cases of ST-segment elevation myocardial infarction 3 cases, and dynamic evolution, non-ST elevation myocardial infarction in 4 cases. CONCLUSION: If CK-MB rises more than 2 times the upper limit of normal and troponin is positive, and the dynamic evolution of myocardial enzymes conforms to the rule of acute myocardial infarction, combined with the clinical manifestations of chest pain, hypotensive shock, heart failure and typical ECG changes, Diagnosis of COPD with acute myocardial infarction.