Chronic obstructive pulmonary disease with acute coronary syndrome clinical observation of 12 cases.docVIP

 PAGE \* MERGEFORMAT 10 Chronic obstructive pulmonary disease with acute coronary syndrome clinical observation of 12 cases Keywords: chronic obstructive pulmonary disease with acute coronary syndrome Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) is a common disease of older persons, frequently-occurring disease, usually manifested acute exacerbation of cough, shortness of breath, increased breathing, breathing difficulties, so that while some patients with unstable cardiovascular system function (hypotension, arrhythmia, myocardial infarction). When the COPD patients with acute coronary syndrome (ACS) between the two coexist, the clinical easily missed diagnosis and misdiagnosis and lead to serious clinical consequences. Are now working on undergraduate from September 2005 to October 2008 with acute exacerbation of COPD admitted with acute coronary syndrome in patients with 12 cases of clinical data analysis, the report is as follows. A clinical data 1.1 General information from March 2000 to March 2008, undergraduate admissions with acute exacerbation of COPD combined ACS inpatients in 12 cases, including 7 males and 5 females, aged 64 ~ 83 years (mean 71.5 years). 12 cases are in line with C0PD acute exacerbation [1] and ACS diagnostic criteria [two]. 8 cases had past history of hypertension, 4 patients had a history of lung and heart, 1 case had history of coronary heart disease, 3 patients had a history of diabetes, nine cases of long-term history of smoking. Time of onset and admission to hospital diagnosed 10h ~ 4d. 1.2 clinical manifestations of 12 cases of patients with varying degrees of cough and asthma, difficulty breathing heavier cyanosis, episodic chest tightness and substernal chest pain, abdominal distension, irritability, sweating, insomnia. Of which: fever, 4 cases; three cases of acute heart failure; blood pressure lt;90/60mmHg 3 cases; sat breathing in 9 cases. All th