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目的:分析慢性肺源性心脏病合并消化道出血临床疗效。方法:2012年2月-2014年3月,我院收治慢性肺源性心脏病合并消化道出血患者45例,对其临床资料进行回顾性分析。结果:在经过治疗后,止血成功患者39例,成功率为86.67%(39/45);病情恶化患者6例,占13.33%(6/45)。在病情恶化的患者中,包括2例肺性脑病、1例出血性休克、1例肺内感染、2例机体酸碱失衡,患者均伴有不同程度的肺部感染。结论:为进一步降低慢性肺源性心脏病合并消化道出血患者的病死率,应当对患者进行早期的诊断,从而提升患者的存活率。
Objective: To analyze the clinical effect of chronic cor pulmonale combined with gastrointestinal bleeding. Methods: From February 2012 to March 2014, 45 cases of chronic pulmonary heart disease complicated with gastrointestinal bleeding were treated in our hospital. The clinical data of the patients were retrospectively analyzed. Results: After treatment, 39 cases were successful hemostasis, the success rate was 86.67% (39/45). Six patients (13.33%, 6/45) had worsening condition. In patients with exacerbations, including 2 cases of pulmonary encephalopathy, 1 case of hemorrhagic shock, 1 case of pulmonary infection, 2 cases of acid-base imbalance in the body, patients with varying degrees of lung infection. Conclusion: In order to further reduce the mortality of patients with chronic cor pulmonale complicated by gastrointestinal hemorrhage, the patients should be diagnosed early to improve their survival rate.