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肺心病急性发作期出现精神神经症状的原因很多,血气及各项生化检查结果错综复杂,既有主次之分,又有相互关联。只有找到主要原因,才能使治疗更有针对性。本文根据临床表现、血气分析及离子测定等,将全部病例分为肺脑组与非肺脑组。肺脑组中有的以CO_2潴留为主,有的则以缺O_2为主, 两者治疗措施不同,预后亦有明显差别,故建议分为高碳酸性脑病和缺氧性脑病。本文对非肺脑组的发病原因、机理、鉴别诊断及防治原则等,结合本组病例作了简要探讨。
Pulmonary heart disease acute exacerbation of neuropsychiatric symptoms for many reasons, blood gas and biochemical test results are complicated, both primary and secondary points, but also interrelated. Only to find the main reason for the treatment can be more targeted. Based on clinical manifestations, blood gas analysis and ionometry, etc., all cases were divided into pulmonary brain group and non-pulmonary brain group. Pulmonary brain group, some of the main retention of CO_2, while others lack O_2-based, the two treatment measures are different, the prognosis is also significantly different, it is suggested that high carbon encephalopathy and hypoxic encephalopathy. This article on non-pulmonary brain pathogenesis, mechanism, differential diagnosis and prevention and treatment principles, combined with this group of patients made a brief discussion.