我院统计219例肺心病患者中,合并肺性脑病者65例,死亡15例,为肺心病死亡原因的首位。现将我们的抢救体会介绍如下。一、典型病例例一患者侯××,男,51岁,原有慢支肺气肿,咳、痰、喘七年;近两年加重;烦躁、抓空、答非所问等意识障碍5天,以肺心病肺性脑病收容住院。住院后立即开始低流量持续吸氧,青霉素480万单位静脉滴注,同时给于尼可刹米、洛具林、氨茶硷,氢化可的松静脉点滴,并给以20％甘露醇250ml和葡萄糖每4小时静脉交替注射。经上述处理4小时后无好转,且昏迷加深,对光反射极弱,压眶上神经孔无反应,当即作气管切开,有大量脓 Our hospital statistics 219 cases of patients with pulmonary heart disease, pulmonary encephalopathy in 65 cases, 15 cases of death, the first cause of death of pulmonary heart disease. Now we will introduce the rescue as follows. First, the typical case of a patient Hou × ×, male, 51 years old, the original chronic bronchitis, cough, sputum, asthma seven years; aggravate in recent years; irritability, catch the air, answer nonsense and other disturbance of consciousness for 5 days Pulmonary heart disease pulmonary encephalopathy hospitalization. Immediate admission began low flow oxygen, penicillin 4.8 million intravenous infusion, while giving Nicotine, Luo Lin, aminophylline, hydrocortisone intravenous drip, and give 20% mannitol 250ml and Glucose is injected intravenously every 4 hours. After the above treatment for 4 hours without improvement, and coma deepening, the light reflex is very weak, supraorbital nerve hole no response, immediately for tracheostomy, a large number of pus