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目的探讨慢性肺源性心脏病并发上消化道出血的临床表现与治疗效果。方法对我院的30例诊断为慢性肺源性心脏病的患者临床资料进行回顾性分析。结果本组30例上消化道出血患者有22例治愈出院,治愈率为75%;有8例死亡,病死率为25%。死亡的8例患者中病程不到10年的有3例,病死率为10%;病程超过10年的患者死亡数为5例,病死率为16.7%。结论慢性肺心病并发上消化道出血病因繁多,病机复杂,病死率高。早期发现,及时治疗慢性肺心病并发上消化道出血是挽救患者生命的关键措施。
Objective To investigate the clinical manifestations and therapeutic effects of upper gastrointestinal bleeding in patients with chronic cor pulmonale. Methods The clinical data of 30 patients diagnosed as chronic cor pulmonale in our hospital were analyzed retrospectively. Results The group of 30 cases of upper gastrointestinal bleeding in 22 patients were cured and discharged, the cure rate was 75%; 8 died, the mortality rate was 25%. Of the 8 deaths, 3 had a disease duration of less than 10 years with a case fatality rate of 10%; 5 had a disease course of more than 10 years with a case fatality rate of 16.7%. Conclusions Chronic pulmonary heart disease complicated by upper gastrointestinal bleeding causes many pathogenesis, high mortality. Early detection and timely treatment of chronic pulmonary heart disease complicated by upper gastrointestinal bleeding are the key measures to save the lives of patients.