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目的探讨肝硬化患者合并呼吸系统疾病的类型、临床表现及预后。方法对1991年至2005年肝硬化失代长期合并呼吸系统疾病75例住院患者进行分析。结果75例患者合并肺结核12例,合并肺炎22例,合并ARDS7例,合并COPD11例,合并胸水23例。75例患者死亡25例,病死率达33%,其死因为肺结核8例,ARDS5例,COPDⅡ型呼吸衰竭6例,肝功能衰竭6例。结论肝硬化是消化系统常见病,常合并呼吸系统疾病,对肝硬化合并呼吸系统疾病的患者应早期诊断及治疗,以降低病死率。
Objective To investigate the types, clinical manifestations and prognosis of patients with cirrhosis complicated with respiratory diseases. Methods A total of 75 hospitalized patients with decompensated cirrhosis and respiratory diseases from 1991 to 2005 were analyzed. Results 75 cases of pulmonary tuberculosis in 12 cases, 22 cases of pneumonia, ARDS in 7 cases, COPD in 11 cases, combined pleural effusion in 23 cases. Among 75 patients, 25 died and the fatality rate was 33%. The cause of death was 8 cases of pulmonary tuberculosis, 5 cases of ARDS, 6 cases of COPD type Ⅱ respiratory failure and 6 cases of liver failure. Conclusion Cirrhosis is a common disease of the digestive system, often associated with respiratory diseases. Patients with cirrhosis and respiratory diseases should be diagnosed and treated early to reduce the mortality.