摘要
目的 通过对 113例肺心病临床分析 ,以探讨肺心病的特点及改进防治措施。方法 对 1996年 11月至 2 0 0 1年 8月住院病例临床表现、实验室检查及治疗措施进行分析。结果 肺心病病因以慢支肺气肿最常见 ,占 77% ;死因主要为心衰、呼衰 ;发热以低热中热度为主 ,中性粒细胞多增高 ,达 78% ;咳痰以白粘液为主 ,胸片以斑片状影多见 ,达 83% ;常合并电解质紊乱 ;肺心病合并冠心病约占半数 ,但冠心病症状多不典型 ;常合并肝功能损害、上消化道病变。结论 老年肺心病是慢性病理过程的结果 ,常合并多脏器功能改变 ,除常规抗感染、止咳祛痰外 ,加强营养及中药制剂有助增强疗效。
Objective Through clinical analysis of 113 cases with chronic pulmonary heart disease.We studied the characteristics monary heart disease and prevention and treatment method.Method Clinical manifestations, laboratory examinations and treatment method of 113 in patients from 1996, 11 to 2001, 8 were studied. The main cause of pulmonary heart disease: 77% were from chronic bronchitis and emphysema. The patients mainly died of heart filure and pulmonary failure with low to middle degree fever neutrophil rising. And always complicated with electrolyte distort, almost half of the subjects were compared with coronary atherosclerosis heart disease. However their clinical manifestations were not obvious. The most patients were with abnormal of hepatic function and upper gastronintestional disease. Conclusion Aged pulmonary heart disease is result of chronic pathological course, always complicated with multi organ disfunction. In addition to anti-bacteria and syndrome anagement, Chinese medicine and nutrition support can improve effect of treatment.
出处
《临床肺科杂志》
2002年第3期18-19,共2页
Journal of Clinical Pulmonary Medicine
