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目的探讨矽肺合并肺原性心脏病急性加重期的并发症治疗特点。方法积极控制感染、合理氧疗、改善通气及换气功能、利尿、强心、纠正电解质紊乱、维持酸碱平衡、激素及营养支持疗法等。结果100例患者中49例在治疗后1个月内症状缓解,33例1个月后症状缓解,15例患者由于顽固性心功能衰竭及肺部感染得不到控制而死亡,3例由于肾功能衰竭、电解质紊乱而死亡。结论矽肺合并肺心病急性加重期,往往出现心、脑、肾、胃肠等多器官衰竭,除常规治疗外,应根据病情不同制定全面合理、周密的防治计划。
Objective To investigate the characteristics of complications in silicosis complicated with acute pulmonary heart disease. Methods Active infection control, rational oxygen therapy, ventilation and ventilation to improve ventilation, diuretic, cardiac, correct electrolyte disorders, maintain acid-base balance, hormone therapy and nutritional support. Results Of the 100 patients, 49 were relieved within 1 month after treatment, 33 after 1 month, and 15 died of uncontrolled heart failure and pulmonary infection. Three patients died of renal failure Failure, electrolyte imbalance and death. Conclusion In the acute stage of exacerbation of silicosis complicated with pulmonary heart disease, multiple organ failure such as heart, brain, kidney, gastrointestinal and so on may occur. In addition to routine treatment, comprehensive and reasonable prevention and cure plans should be formulated according to different conditions.