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本文分析815例慢性肺心病,男性占62.9％,女性占37.1％,平均年龄64.3岁。原发病慢性支气管炎占92.9％,上呼吸道感染为诱因占93.6％。主要症状有咳嗽、气急与紫绀。X线提示肺气肿征占89.4％,肺动脉段突出或右室肥大占61.2％,心电图符合肺心病改变占67.1％。并发症有心功能不全42.5％、呼吸衰竭28.1％、感染性休克9.7％。病死率为30.6％,死因是综合因素,呼吸衰竭或肺脑占76.5％,其它有酸碱失衡、电解质紊乱、休克等,其中死于窒息与猝死分别为11.7％与5.9％。为此,本文对肺心病的有关治疗问题作了讨论。
This article analyzes 815 cases of chronic pulmonary heart disease, 62.9% of men, women accounted for 37.1%, with an average age of 64.3 years old. The primary disease accounted for 92.9% of chronic bronchitis, upper respiratory tract infection as a cause accounted for 93.6%. The main symptoms are cough, shortness of breath and cyanosis. X-ray showed pulmonary emphysema accounted for 89.4%, pulmonary artery segment or right ventricular hypertrophy accounted for 61.2%, ECG consistent with changes in pulmonary heart disease accounted for 67.1%. Complications of heart failure 42.5%, respiratory failure 28.1%, 9.7% of septic shock. The mortality rate was 30.6%. The cause of death was a combination of factors. Respiratory failure or lung-brain disease accounted for 76.5%. Others were acid-base imbalance, electrolyte imbalance and shock. Among them, 11.7% died of asphyxia and 5.9% died of sudden death. To this end, this paper discusses the treatment of pulmonary heart disease.