论文部分内容阅读
目的:分析慢性阻塞性肺疾病(COPD)患者意识障碍的原因。方法:回顾分析北京房山区第一医院近3 a收治的52例诊断为COPD合并意识障碍患者。结果:COPD患者神经精神症状和意识障碍,由单一原因引起者43例,占76.92%,两种以上原因引起者11例,占23.08%;其中最常见的原因是肺性脑病(肺脑),其次是低钠低氯血症,另有消化道出血、感染中毒性休克、心脑血管病、低血糖、肾功能衰竭、药物不良反应等。结论:肺脑是COPD患者意识障碍最常见的原因,但部分患者有多种原因,需要仔细分析和鉴别。
Objective: To analyze the causes of unconsciousness in patients with chronic obstructive pulmonary disease (COPD). Methods: A retrospective analysis of Beijing Fangshan District First Hospital in the past 3 a admitted 52 cases of patients with COPD diagnosis of unconsciousness. Results: There were 43 cases (76.92%) of neuropsychiatric symptoms and disturbance of consciousness in COPD patients, 11 cases (23.08%) caused by more than two reasons. The most common cause was pulmonary encephalopathy Followed by hyponatremia, other gastrointestinal bleeding, toxic shock infection, cardiovascular and cerebrovascular disease, hypoglycemia, renal failure, adverse drug reactions. Conclusion: Pulmonary and brain diseases are the most common causes of unconsciousness in COPD patients, but some patients have many causes and need careful analysis and identification.