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肺心病急性加重期指肺心病患者呼吸道感染加重和症状恶化。其并发症多,若治疗不当,病死率高。现将我院1992年2月～1993年11月肺心病急性加重期172例临床资料进行临床综合分析,以探讨肺心病肺部感染病原体,肺心病并发症及死亡原因。 临床资料 一、一般资料:本组病例按全国肺心病会议制定的标准,男性106例,女性66例。年龄53～93岁。其中慢性支气管炎引起肺心病155例(90％)。死亡25例,病死率14.5％。 二、实验室检查:本组99例作痰细菌培养及药物敏感试验,结果72例细菌培养阳性,阳性率72.7％。其中革兰氏阴性杆菌57例(79.2％),混合感染14例(19.4％)。白细胞>10.0×10~9/L43例(25％)。电解质紊乱低血钾(血钾<3.5mmol/L)61例(35.5%),低血钠(血钠<130mmol/L)21例(12.2%),低渗血症(血浆渗透压<280mmol/L)12例(7％)。血气分析呼吸衰竭78例(45.3％),二重酸碱紊乱52例(52/78),其中呼吸性酸
Pulmonary Heart Disease Acute exacerbation of pulmonary heart disease in patients with respiratory tract infection and worsening of symptoms. The complications and more, if not properly treated, high mortality. Now in our hospital from February 1992 to November 1993 an acute exacerbation of pulmonary heart disease clinical data of 172 cases of clinical comprehensive analysis of pulmonary heart disease in patients with pulmonary infection, pulmonary heart disease complications and causes of death. Clinical data First, the general information: The group of patients according to the national pulmonary heart disease meeting to develop standards, 106 males and 66 females. Age 53 ~ 93 years old. Chronic bronchitis caused pulmonary heart disease in 155 cases (90%). 25 died, the case fatality rate was 14.5%. Second, laboratory tests: This group of 99 cases of sputum bacterial culture and drug sensitivity test, the results of 72 cases of bacterial culture positive, the positive rate of 72.7%. Gram-negative bacilli 57 cases (79.2%), mixed infection in 14 cases (19.4%). WBC> 10.0 × 10 ~ 9 / L43 cases (25%). Electrolytes were hypokalemia (plasma potassium <3.5mmol / L) in 61 cases (35.5%), hyponatremia (serum sodium <130mmol / L) in 21 cases L) 12 cases (7%). Blood gas analysis of 78 cases of respiratory failure (45.3%), 52 cases of double acid-base disorders (52/78), including respiratory acid