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目的探讨综合性治疗老年肺心病急性加重期并发症肺性脑病的疗效和重要的死亡原因之一。方法将确诊的老年肺心病急性加重期并发为肺性脑病患者42例,按年龄分组,<60岁3例,≥60岁39例;按轻、中和重型分轻型14例、中型24例和重型4例,给予积极有效的综合治疗。结果肺性脑病存活率71、4%,住院病死率28、6%;轻、中和重型的病死率分别是7、1%、33、3%和75%,重型与轻型差异有显著性(P<0、01),有合并症的病死率高于无合并症者(P<0.05),具有统计学意义。结论肺心病患者并发肺性脑病,年龄高、病程长、并发症多者,发生率和病死率均高,应早期进行综合治疗。
Objective To investigate the curative effect and the important cause of death in the comprehensive treatment of pulmonary encephalopathy in elderly patients with acute exacerbation of pulmonary heart disease. Methods Forty-two patients with pulmonary encephalopathy who were diagnosed as acute exacerbation of chronic pulmonary heart disease were divided into three groups according to age, including 3 cases <60 years old and 39 cases ≥60 years old. According to light, moderate and severe subgroups, 14 cases were light, 24 cases were medium Heavy in 4 cases, to give a positive and effective comprehensive treatment. Results The survival rate of pulmonary encephalopathy was 71.4%, and the in-hospital mortality rate was 28.6%. The mortality rates of mild, moderate and severe were 7,1%, 33,3% and 75% respectively. There was significant difference between heavy and light P <0,01). The mortality rate of complications was higher than that without complications (P <0.05), with statistical significance. Conclusion Pulmonary heart disease patients with pulmonary encephalopathy, high age, long duration, multiple complications, the incidence and mortality were high, should be early comprehensive treatment.