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1975～1981年我院收治慢性阻塞性肺病(简称慢阻肺)患者1046例,其中出现神经精神症状者37例,男女比例为2.08:1.0。51岁以上占75.7％。汉族25例,民族12例。意识障碍包括嗜睡27.0％,神志恍惚18.9％,昏迷29.7％,烦躁不安16.2％,抽搐8.1％。原发病以慢性支气管炎居首位占86.5％。本组发生神经精神症状的原因肺性脑病占86.5％,脑动脉硬化5.4％,中毒性肺炎、电解质紊乱及镇静剂影响各占2.7％。 37例神经精神症状患者死亡占43.2％。死亡原因以呼吸衰竭为主占68.7％,严重电解质
From 1975 to 1981, 1046 cases of chronic obstructive pulmonary disease (COPD) were admitted to our hospital. Of them, 37 cases showed neuropsychiatric symptoms, with a ratio of male to female of 2.08: 1.0.5 years old and 75.7%. 25 cases of Han nationality in 12 cases. Consciousness disorders included drowsiness 27.0%, delirium 18.9%, coma 29.7%, irritability 16.2%, convulsions 8.1%. Chronic bronchitis primary disease accounted for the first place accounted for 86.5%. The causes of neuropsychiatric symptoms in this group accounted for 86.5% of pulmonary encephalopathy, cerebral arteriosclerosis 5.4%, toxic pneumonia, electrolyte imbalance and sedative effects of 2.7%. 37 cases of neuropsychiatric symptoms accounted for 43.2% of deaths. The main cause of death in respiratory failure accounted for 68.7%, severe electrolyte