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目的探讨慢性肺源性心脏病并发肺性脑病相关因素。方法慢性肺源性心脏病并发肺性脑病35例,无肺性脑病91例,两组均系同期住院患者,对资料进行χ2检验。结果慢性肺源性心脏病并发肺性脑病的时间多在病后一年内(60%),其相关因素有呼吸功能衰竭所致缺氧、CO2、酸中毒(P均<0.005;并发肺性脑病的病死率明显增高。结论慢性肺源性心脏病应积极加强防治肺性脑病。
Objective To investigate the related factors of pulmonary encephalopathy in patients with chronic cor pulmonale. Methods Chronic pulmonary heart disease complicated with pulmonary encephalopathy in 35 cases, without pulmonary encephalopathy in 91 cases, both were in the same period inpatients, χ2 test data. Results The time of pulmonary encephalopathy complicated by pulmonary encephalopathy was more than one year after the illness (60%). The related factors were hypoxia, CO2 and acidosis caused by respiratory failure (all P <0.005); pulmonary encephalopathy Of the mortality was significantly increased.Conclusion Chronic pulmonary heart disease should be actively strengthened prevention and treatment of pulmonary encephalopathy.