摘要
目的探讨慢性肺原性心脏病死亡的相关危险因素和防治的有效方法。方法回顾性分析89例慢性肺原性心脏病病程、吸烟指数、白蛋白水平、血气、发病诱因、伴随疾病、并发症、直接死亡原因。结果89例慢性肺原性心脏病死亡病例平均年龄76.42±7.512岁,病程17.92±12.19年,吸烟指数402.2±344.09年.支,血清白蛋白水平33.951±5.421g/L,呼吸道感染为常见的发病原因,伴随疾病中高血压病、肿瘤(肺部和肺外)、CAP、糖尿病、冠心病、HAP排在前6位,并发症呼吸衰竭、心力衰竭、肺性脑病、上消化道出血、多器官功能衰竭、肾功能衰竭、肝功能衰竭、感染性休克。呼衰、恶病质、多器官功能衰竭、心力衰竭是导致患者直接死亡的主要原因。结论大力倡导戒烟,合理的营养支持治疗,切实有效的防范感染,减少反复住院的次数,防治并发症,有效的保护心、肺、脑、肝、肾、消化道等重要器官的生理功能,极大减少慢性肺原性心脏病患者住院死亡率。
Objective： Investigate the fatality risk factors associated with chronic eor pulmonale in hospitalized and look for the measures of decreasing hospital mortality. Methods： We retrospectively studied the clinical data of 89 chronic eor pulmonale. Results： the media age of 89 chronic eor pulmonale is 76.42 ±7.512 years, the course of disease is 17.92 ± 12.19 years, smoking index is 402.2 ±344.09years. branch, serum albumin is 33.951 ±5.421g/L, respiratory infection is normal reason of morbility, all the patients hospitalized with hypertension, carcinoma. CAP. diabetes, coronary heart disease. HAP in presixth order, complication is respiratory failure, heart failure, pulmonary eneephalopathy, upper gastrointestinal blood, multiple organ failure, renal failure, liver function failure, septic shock, respiratory failure, eaehexia, multiple organ failure, heart failure is mean direct dead reasons. Conclusion： advocating no smoking and proper nutritional supporting and preventing respiratory infection and decreasing rate of hospitalization, preventing and curing complication, protecting physiologic function of heart, pulmonary, brain, liver, renal, digestive tract etal, therefore these measures can decrease hospital mortality of chronic eor ptdmonale maximatily.
出处
《华西医学》
CAS
2007年第2期309-310,共2页
West China Medical Journal
