肺心病是慢性支气管炎、肺气肿以及其他肺、胸疾病或肺血管病病变引起肺循环阻力增高,导致肺动脉高压、右心室肥大,最后发生右心室衰竭的一种心脏病[1]。此病急性期紧急而多变,临床上严密观察患者病情“四大变化”,加强护理健康指导,能够大大降低危险性的发生。体会如下。1严密 Cor Pulmonale is a type of heart disease with chronic bronchitis, emphysema, and other lung, chest or pulmonary vascular diseases that cause increased resistance to pulmonary circulation, pulmonary hypertension, and right ventricular hypertrophy, with consequent right ventricular failure [1]. The acute and urgent changes in the disease, clinical close observation of the patient’s condition, “four major changes” and strengthen health care guidance, can greatly reduce the risk of occurrence. Experience as follows. 1 tight