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肺性脑病的发病与呼吸衰竭病人的早期诊断和治疗有关。现将我院收治的慢性肺心病人在外院应用镇静剂导致肺性脑病2例,报告如下: 例1男,64岁。患者反复咳嗽、咳痰、气喘25年,经某医院确诊为慢性支气管炎、慢性阻塞性肺气肿、肺原性心脏病。入院前10天出现双下肢浮肿、嗜睡、谵妄、肌肉抽动。当地医院给予口服氯丙嗪及对症治疗,随后患者出现神志不清,以昏迷原因待查、脑血管意外待排除于1985年4月17日急诊入院。体检:体温37℃,脉搏104次/分,呼吸20次/分,血压64/50mmHg。慢性病容,神志不清。球结膜充血、水肿,
The incidence of pulmonary encephalopathy and respiratory failure in patients with early diagnosis and treatment related. Chronic pulmonary heart disease patients now admitted to our hospital in the outer hospital application of tranquilizers lead to pulmonary encephalopathy in 2 cases, the report is as follows: 1 male, 64 years old. Patients repeatedly cough, sputum, asthma for 25 years, diagnosed by a hospital for chronic bronchitis, chronic obstructive pulmonary emphysema, pulmonary heart disease. Lower extremity edema, drowsiness, delirium and muscle twitching appeared 10 days before admission. The local hospital was given oral chlorpromazine and symptomatic treatment, followed by patients with unconsciousness, coma to be investigated, cerebrovascular accident to be excluded from the April 17, 1985 emergency admission. Physical examination: temperature 37 ℃, pulse 104 beats / min, breathing 20 beats / min, blood pressure 64 / 50mmHg. Chronic illness, unconscious. Bulbar conjunctival hyperemia, edema,