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本文回顾了我院呼吸内科1991年6月～1997年4月收住院的88例慢性肺心病急性加重期患者的治疗情况,并对治疗及预后进行了分析。 1 临床资料 1.1 一般资料:本组,男51例,女37例。年龄54～84岁,平均71.5岁。88例均符合1977年全国第二次肺心病会议修订的诊断标准。其中心功能不全Ⅲ级并呼吸功能不全Ⅲ级41例。心功能不全Ⅱ级并呼吸功能不全Ⅱ级47例。原发病均为慢性支气管炎、阻塞性肺气肿。88例中,并发电解质紊乱65例(74％),并发碱中毒15例(17％),并发心律失常70例(80％),并发肾功能衰竭29例(33％),并发肺性脑
This article reviews the treatment of 88 patients with acute exacerbation of chronic pulmonary heart disease admitted to our hospital from June 1991 to April 1997, and analyzed the treatment and prognosis. 1 Clinical data 1.1 General Information: This group, 51 males and 37 females. Age 54 to 84 years old, average 71.5 years old. 88 cases were in line with the second national pulmonary heart disease conference in 1977 revised the diagnostic criteria. Its central dysfunction level Ⅲ and respiratory insufficiency Ⅲ grade 41 cases. Grade Ⅱ heart failure and respiratory insufficiency Ⅱ grade 47 cases. Primary disease are chronic bronchitis, obstructive emphysema. Of the 88 patients, 65 (74%) had electrolyte disturbances and 15 (17%) developed alkalosis, with arrhythmia in 70 (80%) and renal failure in 29 (33%