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本文报告肺性脑病４６例（男２５例，女２１例）年龄５４～８４岁，其中轻型１４例，中型２１例，重型１１例，神经系统主要表现包括仅有精神障碍，兼有某些神经体征和并发有严重合并症三种情况，发生肺脑的主要原因为感染、气道痉挛及痰阻、心衰、不适当利尿及不适当吸氧等。神经系统症候与ＰａＣＯ_２升高、ＰａＯ_２降低、低钠、低氯和低镁等关系密切。轻中型者应给予抗感染、防止痰阻、合理供氧、缩唇呼吸和膈肌起搏等治疗；重度者应及时转入呼吸监护室，必要时人工通气。治疗结果为缓解出院３１例，死亡１５例，住院死亡率３２．６％。
This article reports 46 cases of pulmonary encephalopathy (25 males and 21 females) aged 54 to 84 years, of which 14 cases were light, 21 cases of medium and 11 cases of severe, the main manifestations of the nervous system, including only mental disorders, both of some nerves Signs and complications of severe complications in three cases, the main cause of pulmonary brain infection, airway spasm and sputum obstruction, heart failure, inappropriate diuresis and inappropriate oxygen and so on. Neurological symptoms and PaCO 2 increased PaO 2 decreased, low sodium, low chlorine and low magnesium are closely related. Light and medium should be given anti-infection, to prevent phlegm obstruction, reasonable oxygen supply, reduction of lip respiration and diaphragmatic pacing and other treatment; severe cases should be promptly transferred to the respiratory care unit, artificial ventilation if necessary. The results of treatment were 31 patients discharged, 15 died and the in-hospital mortality was 32.6%.