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1973年全国肺心病专业会议提出的肺性脑病诊断标准在国内已被广泛接受及应用,但同时在临床工作中亦遇有一些混淆不清和有争议的地方。主要是:肺性脑病是一个临床症状群的概念还是指一种特定的病理生理条件(主要是缺氧及呼吸性酸中毒)下出现的神经系统综合征?一旦冠以肺性脑病的诊断,是否就表示出现了由同一的病因引起的有同一病理生理基础和同一治疗原则的一个病理过程?根据两年多来对符合上述肺性脑病诊断标准的73例肺心病患者的观察分析,我们认为上
The diagnostic criteria for pulmonary encephalopathy put forward by the National Conference on Cor Pulmonary Disease in 1973 have been widely accepted and applied in China, but at the same time, some confusing and controversial places are encountered in clinical work. Mainly is: Is the concept of a group of clinical symptoms of pulmonary encephalopathy or refers to a specific pathophysiological conditions (mainly hypoxia and respiratory acidosis) appear in the nervous system syndrome? Once crowned with the diagnosis of pulmonary encephalopathy, Does it mean that there is a pathological process with the same pathophysiological basis and the same treatment principle caused by the same etiology? According to the observation and analysis of 73 cases of pulmonary heart disease patients meeting the diagnostic criteria of the above-mentioned pulmonary encephalopathy for more than two years, we think on