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肺性脑病是肺心病常见的严重并发症,其发生率和病死率都很高,国内报告发生率11～39％,病死率32.5～77％。我院1985年12月～1994年11月共收住肺心病患者748例,其中重症肺心病370例,并发肺性脑病51例,占重症肺心病发生率13.8％,占肺性脑病病死率35.2％。基层医院由于缺乏血气分析等相应的辅助检查,而肺性脑病的早期表现又很不典型,待症状典型时,患者病情常常已进入严重状态。因此,如何降低肺性脑病的住院病死率,我们认为首先降低其住院发生率,就显得尤其重要。为此,经过多年的临床观察有以下临床表现值得进一步探讨。
Pulmonary encephalopathy is a common serious complication of pulmonary heart disease, its incidence and mortality are high, the incidence of 11 to 39% of domestic reports, the mortality rate of 32.5 to 77%. Our hospital from December 1985 to November 1994 received a total of 748 patients with pulmonary heart disease, of which 370 cases of severe pulmonary heart disease, pulmonary encephalopathy in 51 cases, accounting for the incidence of severe pulmonary heart disease 13.8%, accounting for pulmonary encephalopathy mortality 35.2 %. Primary hospitals due to lack of blood gas analysis and other corresponding auxiliary examination, and early manifestations of pulmonary encephalopathy is very typical, to be typical symptoms, the patient’s condition often has entered a serious condition. Therefore, how to reduce the in-hospital mortality rate of pulmonary encephalopathy, it is particularly important that we think it is the first to reduce the incidence of hospitalization. To this end, after many years of clinical observation of the following clinical manifestations deserve further exploration.