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目的了解慢性阻塞性肺疾病(COPD)急性加重期,肺心病难治性心力衰竭(心衰),其与缺氧、CO_2潴留与气道的关系。方法回顾性分析成都市建工医院内科1994年2月至2002年8月收治60例肺心病难治性心衰的临床资料,其中治疗组30例,对照组30例,并将其对比分析。结果常年有心累、气促、右心扩大、紫绀、呼吸因难、肢体水肿。治疗组病人均用小剂量肝素、硫酸镁治疗后,症状改善。结论慢性阻塞性肺疾病(COPD)急性加重期,肺心病难治性心衰,呼吸衰竭,易导致患者反复感染的危险因素。
Objective To investigate the relationship between chronic obstructive pulmonary disease (COPD) acute exacerbation, refractory heart failure with cor pulmonale (heart failure) and hypoxia, CO_2 retention and airway. Methods The clinical data of 60 cases of refractory heart failure with pulmonary heart disease admitted from February 1994 to August 2002 in Chengdu Construction Hospital were retrospectively analyzed. Among them, 30 cases in the treatment group and 30 cases in the control group were compared and analyzed. Perennial results tired, shortness of breath, right heart enlargement, cyanosis, respiratory difficulties, limb edema. Patients in the treatment group were treated with low-dose heparin, magnesium sulfate, the symptoms improved. Conclusions Acute exacerbation of chronic obstructive pulmonary disease (COPD), refractory heart failure of pulmonary heart disease, respiratory failure and risk factors of recurrent infections in patients.