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慢性肺源性心脏病临床诊疗探讨

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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。
Clinical Analysis of 66 cases with chronic pulmonary Heart disease
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.

Chronic pulmonary heart diseaseChronic obstructive pulmonary diseaserespiratory failure

慢性肺源性心脏病 慢性阻塞性肺疾病 呼吸衰竭

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(23)
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