中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
23期
14-15
,共2页
慢性肺源性心脏病%慢性阻塞性肺疾病%呼吸衰竭
慢性肺源性心髒病%慢性阻塞性肺疾病%呼吸衰竭
만성폐원성심장병%만성조새성폐질병%호흡쇠갈
Chronic pulmonary heart disease%Chronic obstructive pulmonary disease%respiratory failure
通过对66例慢性肺源性心脏病临床资料分析，以探讨慢性肺源性心脏病的临床特点及治疗措施。方法：对2008年1月至2013年12月住院病例的临床表现、实验室及辅助检查和治疗措施进行回顾性分析。结果：慢性肺源性心脏病的病因以慢性阻塞性肺疾病最常见，多有长期大量吸烟史；临床表现以发热、咳嗽、咳白粘痰、呼吸困难、肺部罗音、紫绀和浮肿为主，咳痰以白粘痰为主；常合并有电解质紊乱、肝肾功能损害；死因主要为心力衰竭和呼吸衰竭。结论：慢性肺源性心脏病是慢性病理过程的结果，病情复杂，常合并有多脏器功能改变。临床治疗应采取以抗感染、合理氧疗、加强营养和对症治疗为主的综合措施，机械通气治疗日益受到重视。戒烟和预防上呼吸道感染是减少慢性肺源性心脏病发病率和阻止病情发展的重要措施。
通過對66例慢性肺源性心髒病臨床資料分析，以探討慢性肺源性心髒病的臨床特點及治療措施。方法：對2008年1月至2013年12月住院病例的臨床錶現、實驗室及輔助檢查和治療措施進行迴顧性分析。結果：慢性肺源性心髒病的病因以慢性阻塞性肺疾病最常見，多有長期大量吸煙史；臨床錶現以髮熱、咳嗽、咳白粘痰、呼吸睏難、肺部囉音、紫紺和浮腫為主，咳痰以白粘痰為主；常閤併有電解質紊亂、肝腎功能損害；死因主要為心力衰竭和呼吸衰竭。結論：慢性肺源性心髒病是慢性病理過程的結果，病情複雜，常閤併有多髒器功能改變。臨床治療應採取以抗感染、閤理氧療、加彊營養和對癥治療為主的綜閤措施，機械通氣治療日益受到重視。戒煙和預防上呼吸道感染是減少慢性肺源性心髒病髮病率和阻止病情髮展的重要措施。
통과대66례만성폐원성심장병림상자료분석，이탐토만성폐원성심장병적림상특점급치료조시。방법：대2008년1월지2013년12월주원병례적림상표현、실험실급보조검사화치료조시진행회고성분석。결과：만성폐원성심장병적병인이만성조새성폐질병최상견，다유장기대량흡연사；림상표현이발열、해수、해백점담、호흡곤난、폐부라음、자감화부종위주，해담이백점담위주；상합병유전해질문란、간신공능손해；사인주요위심력쇠갈화호흡쇠갈。결론：만성폐원성심장병시만성병리과정적결과，병정복잡，상합병유다장기공능개변。림상치료응채취이항감염、합리양료、가강영양화대증치료위주적종합조시，궤계통기치료일익수도중시。계연화예방상호흡도감염시감소만성폐원성심장병발병솔화조지병정발전적중요조시。
Objective To study clinical characteristics of chronic pulmonary heart disease and diagnosis and treatment methods according to clinical analysis of 66 cases with chronic pulmonary heart disease. Method Clinical manifestations,laboratory examinations, adjuvant and treatment methods of 56 in patients from 2008,1 to 2013,12 were analyzed retrospectively. Results The main causes of chronic pulmonary heart disease were from chronic obstructive pulmonary disease ,multiple patients have a long history of smoking. The main clinical manifestations have fever,cough,white phlegm,dyspnea,vesicular rale cyanosis,double legs edema ,and so on. And always complicated with electrolyte distort,the most patients were with abnormal of hepatic and nephritic function . The patients mainly died of heart failure and respiratory failure.Conclusions Chronic pulmonary heart disease is result of chronic pathological course and always complicated with multi organ disfunction.Clinical combined therapy methods includes anti-bacteria, rational oxygen therapy,nutrition support and syndrome anagement,mechnical ventilation therapy was taken into more account than ever. Giving up smoking and preventing upper respiratory infection can reduce the morbidity of Chronic pulmonary heart disease and prevent the conditions from deteriorating.
