摘要
目的探讨慢性肺心病急性加重期并发肺性脑病临床特点和诊疗措施。方法回顾性分析吴川市人民医院2006年1月至2010年12月收治的慢性肺心病急性加重期并发肺性脑病120例进行回顾性临床分析。根据血气和血浆渗透压将患者分为3组:肺性脑病组(肺脑组)43例,肺性脑病合并低渗血症组(混合组)39例,低渗血症组(低渗组)38例,分析患者体征表现、外周血白细胞、血电解质、生化、血气及血浆渗透压监测结果。结果 120例慢性肺心病急性加重期并发肺性脑病患者病情不变和恶化83例(69.17%),死亡36例(30%),病情恶化主动入院1例(0.83%);低渗组PaCO2明显低于肺脑组和混合组(均P<0.01),低渗组血Na+、血K+、血C1-、血浆渗透压与混合组差异均无显著性差异(P>0.05)。结论肺性脑病病死率高,早期发现和综合治疗,可降低病死率。
Objective To investigate the acute exacerbation of chronic pulmonary heart disease complicated by pulmonary encephalopathy clinical features and treatment measures.Methods A retrospective analysis of The People,s Hospital of Wuchuan from January 2006 to December 2010 admitted to acute exacerbation of chronic pulmonary heart disease complicated by pulmonary encephalopathy were retrospectively reviewed 120 cases clinical analysis.According to blood gas and plasma osmolality were divided into 3 groups：,pulmonary encephalopathy group（lung meningitis group） 43 cases of pulmonary encephalopathy Hyposmolarity group（mixed group） 39 cases Hyposmolarity group（hypotonic group）,38 cases of patients with signs of performance,peripheral white blood cells,serum electrolytes,biochemical,blood gas and plasma osmotic pressure monitoring results.Results 120 patients with acute exacerbation of chronic pulmonary heart disease complicated by pulmonary encephalopathy and deterioration of patient＇s condition the same 83 cases（69.17%）,36 patients died（30%）,active hospital deteriorated in 1 case（0.83%）;hypotonic group PaCO2 significantly lower lung brain and mixture group（all P0.01）,hypotonic group of blood Na＋,serum K＋,blood C1-plasma osmolality and mixed group showed no significant difference（P0.05）.Conclusion The pulmonary encephalopathy and high mortality,early detection and comprehensive treatment can reduce mortality.
出处
《中国医药指南》
2011年第15期11-13,共3页
Guide of China Medicine
关键词
肺心病
低渗性脑病
低钠血症
Pulmonary heart disease
Hypotonic encephalopathy
Hyponatremia
