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肺性脑病是肺心病的常见并发症,但临床上常需与其它原因引起的精神神经症状相鉴别。特别是在原有肺心病的基础上出现神经精神症状和意识障碍常导致误诊。本文对我院近3年来误诊和疑诊为肺脑的12例非肺脑意识障碍作一回顾性分析。 12例均有慢性咳喘病史,符合1977年全国肺心病诊断标准。年龄自45～80岁,平均65岁。曾发生过呼吸衰竭者5例,有肺脑病史者2例,其中一例曾4次发生肺脑。
Pulmonary encephalopathy is a common complication of pulmonary heart disease, but often clinically required and other causes of neuropsychiatric symptoms were identified. Especially in the original pulmonary heart disease on the basis of neuropsychiatric symptoms and disturbance of consciousness often lead to misdiagnosis. In this paper, we retrospectively analyzed 12 cases of non-pulmonary disturbance of consciousness in our hospital which were misdiagnosed and suspected to be pulmonary brain in recent 3 years. 12 cases have a history of chronic cough, in line with the national diagnostic criteria of pulmonary heart disease in 1977. Age from 45 to 80 years old, average 65 years old. There have been 5 cases of respiratory failure, a history of pulmonary encephalopathy in 2 cases, one case had pulmonary four times.