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目的:分析慢性肺心病患者意识障碍的原因。方法:回顾性分析本院近2年收治的30例慢性肺心病患者伴意识障碍患者的临床资料。结果:意识障碍的原因:肺性脑病46.7%、低渗性脑病16.7%、脑梗死13.3%、药物引起者13.3%、其他10.0%;死亡8例:肺性脑病3例,低渗性脑病2例,脑梗死1例,消化道出血1例,感染中毒性脑病中毒性休克1例。结论:慢性肺心病患者机体调节机能较差,出现意识障碍很难完全避免;症状多样化,特异性不强,特别是在呼吸衰竭已明显改善的情况下又出现意识障碍,应仔细寻找原因,认真分析进行鉴别诊断与对症治疗。
Objective: To analyze the causes of unconsciousness in patients with chronic cor pulmonale. Methods: The clinical data of 30 patients with chronic obstructive pulmonary disease admitted to our hospital in recent 2 years were retrospectively analyzed. Results: The causes of disturbance of consciousness were: pulmonary encephalopathy 46.7%, hypotonic encephalopathy 16.7%, cerebral infarction 13.3%, drug-induced 13.3%, others 10.0%; death 8 cases: 3 cases of pulmonary encephalopathy, hypotonic encephalopathy 2 1 case of cerebral infarction, 1 case of gastrointestinal bleeding, 1 case of toxic shock of toxic encephalopathy. CONCLUSIONS: Chronic pulmonary heart disease patients have poor accommodation function and difficult to completely avoid the disturbance of consciousness. The symptoms are diversified and the specificity is not strong. Especially in the condition that respiratory failure has been obviously improved, the disturbance of consciousness occurs. Therefore, Serious analysis of differential diagnosis and symptomatic treatment.