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问:为什么要重视肺心病合并冠心病的诊断? 答:肺心病和冠心病都是中、老年人的多发病、常见病,两者并存比较常见,临床报告肺心病合并冠心病占4.3～21.9％,尸检检出率还要高,占25～70％。80％以上的肺心病患者年龄超过50岁,冠心病的发病随年龄增大而增加,吸烟与慢性肺心病的发病有着肯定的关系,吸烟也是国内外公认的促成冠心病的危险因素之一,因此,两病并存从理论上推测亦一定不在少数。两病并存症状互相掩盖,增加了病情的复杂性,又由于目前尚无统一的诊断标准,临床诊断比较困难,漏诊、误诊病例甚多。肺心病合并冠心病时,在治疗、预后方面与疾病单发有所不同,故对这两种疾病并存做出正确诊断,对指导治疗有一定重要性。
Q: Why should pay attention to the diagnosis of pulmonary heart disease complicated by coronary heart disease? A: Both pulmonary heart disease and coronary heart disease are frequently-occurring and common diseases of middle-aged and elderly people. The coexistence of the two is more common. Coronary heart disease with pulmonary heart disease accounts for 4.3-21.9 %, The autopsy rate is even higher, accounting for 25 to 70%. More than 80% of patients with pulmonary heart disease over the age of 50, the incidence of coronary heart disease increased with age, smoking and chronic pulmonary heart disease have a positive relationship, smoking is also recognized as one of the risk factors of coronary heart disease, Therefore, the two diseases coexist theoretically speculation must also be not a minority. The two diseases coexist with each other to cover the symptoms, increasing the complexity of the disease, but also because there is no uniform diagnostic criteria, clinical diagnosis is more difficult, missed diagnosis, misdiagnosis many cases. Pulmonary heart disease with coronary heart disease, treatment, prognosis and the disease with a single hair is different, so the coexistence of these two diseases to make the correct diagnosis of the guiding treatment of some importance.