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本文回顾分析四川省近三年内2904例住院肺心病例表明,肺心病病死率为9.6％,肺性脑病病死率为51.9％。死亡原因中有呼吸衰竭者占79.7％;痰培养有效病菌生长者占41.9％,其中革兰氏阴性杆菌占22％,金葡菌占5.6％。725例肺心病人中酸碱失衡者占91.5％,以呼酸代偿、失代偿和呼酸代碱三型为多见(合计78.5％)而以呼酸代酸病死率最高(60％)％。
This paper retrospectively analyzed 2904 cases of hospitalized pulmonary heart disease in Sichuan Province in the past three years, showing that the mortality rate of pulmonary heart disease was 9.6% and the mortality rate of pulmonary encephalopathy was 51.9%. Respiratory failure accounted for 79.7% of the causes of death; sputum culture effective bacteria growth accounted for 41.9%, of which Gram-negative bacilli accounted for 22%, Staphylococcus aureus accounted for 5.6%. Among 725 patients with pulmonary heart disease, acid-base imbalance accounted for 91.5%, with aconitine decompensation, decompensation and acne-induced alkaloid three types were common (total 78.5%), while those with rheumatic acidosis were the highest (60% )%.