34肺原性心脏病（34 pulmonary heart disease）.doc

34肺原性心脏病（34 pulmonary heart disease） Third cases of pulmonary heart disease Cor pulmonale is a heart disease caused by pulmonary hypertension due to the pathological changes of bronchial lung tissue or pulmonary vascular disease. According to the onset and duration of disease, can be divided into acute and chronic two kinds. Clinically, there are many people in the future. This section focuses on chronic pulmonary heart disease. Chronic pulmonary heart disease Chronic pulmonary heart disease (chronic pulmonary heart disease) is due to lung, thoracic or pulmonary vascular lesions caused by chronic pulmonary vascular resistance increased and pulmonary hypertension, and the right ventricular hypertrophy and dilation, and even the occurrence of right heart failure heart disease. This disease is more common in our country. According to the statistics in recent years, the average prevalence rate of pulmonary heart disease is 0.41%-0.47%. The majority of the patients are over 40 years old, and the prevalence rate increases with age. The acute attack is more common in winter and spring. Acute respiratory tract infection is often the cause of acute attack, often leading to lung and heart failure, fatality rate is higher. After nearly 20 years of research in China, there has been a more profound understanding of the occurrence and development of pulmonary heart disease, and some progress has been made in the diagnosis and treatment of pulmonary heart disease. The fatality rate of pulmonary heart disease has been obviously decreased. [etiology] According to the different parts of the original disease, can be divided into three categories: I. bronchial and lung diseases In chronic bronchitis complicated with obstructive pulmonary emphysema were most common, accounting for about 80% - 90%, followed by bronchial asthma, bronchiectasis, pulmonary tuberculosis, pneumoconiosis, chronic diffuse interstitial pulmonary fibrosis, sarcoidosis, allergic alveolitis, eosinophilic granuloma.