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目的:分析慢性阻塞性肺疾病(COPD)患者意识障碍的原因。方法:对在我科住院的43例COPD合并意识障碍患者的临床资料进行回顾性分析。结果:由肺性脑病引起者17例,占有意识障碍人数的39.5%;低渗性脑病12例,占27.9%;脑梗死3例,占7.0%;药物引起者共6例,占14.0%;其他5例,共占11.6%。结论:慢性阻塞性肺疾病患者一旦出现意识障碍,并非都是肺性脑病所致,应积极寻找原因,对症治疗。
Objective: To analyze the causes of unconsciousness in patients with chronic obstructive pulmonary disease (COPD). Methods: The clinical data of 43 COPD patients with unconsciousness who were hospitalized in our department were analyzed retrospectively. Results: 17 cases were caused by pulmonary encephalopathy, accounting for 39.5% of the total number of people with impaired consciousness; 12 cases were hypotonic encephalopathy, accounting for 27.9%; 3 cases were cerebral infarction, accounting for 7.0%; 6 cases were drug induced, accounting for 14.0%; The other 5 cases, a total of 11.6%. Conclusion: Once the patients with chronic obstructive pulmonary disease have disturbance of consciousness, not all of them are caused by pulmonary encephalopathy, they should actively look for the reason and symptomatic treatment.