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目的探讨慢性肺心病心力衰竭患者的变化情况及肝功能损害对慢性肺心病心力衰竭患者预后的影响。方法回顾分析本院2005年1月至2007年6月收治的不伴有电解质紊乱呼吸衰竭及肾损害的慢性肺心病心力衰竭患者204例。依据有无肝损害分为肝损害组23例,肝功能正常组(对照组)181例,对其进行临床分析。结果肝功正常组(对照组)181例总有效率91%,肝损害组23例,其中乙型肝类3例,脂肪肝11例,原因不明9例,总有效率52%,两组有效率比较差异有显著性,P<0.01。结论肝损害是慢性肺心病心力衰竭的常见并发症且影响慢性肺心病心力衰竭的治疗效果。
Objective To investigate the changes of patients with chronic cor pulmonale heart failure and the effect of hepatic dysfunction on the prognosis of patients with chronic cor pulmonale heart failure. Methods A retrospective analysis of our hospital from January 2005 to June 2007 admitted to the non-electrolyte imbalance of respiratory failure and renal damage in patients with chronic pulmonary heart failure in 204 cases. According to the presence or absence of liver damage, 23 cases were divided into liver damage group, 181 cases of normal liver function group (control group), and their clinical analysis. Results 181 cases of normal liver function group (control group), the total effective rate was 91%, liver damage in 23 cases, including 3 cases of hepatitis B, fatty liver in 11 cases, unexplained 9 cases, the total effective rate was 52% There was significant difference in efficiency, P <0.01. Conclusion Liver damage is a common complication of heart failure of chronic cor pulmonale and affects the therapeutic effect of heart failure in chronic cor pulmonale.