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本文报告慢性肺原性心脏病急性发作期合并DIC14例,合并可疑DIC 16例,同时以无此并发症的肺心病10例作为对照组。病变组患者出现于肺性脑病者占73.3％。死亡21例,好转4例,自动出院5例。本文讨论了肺心病并发DIC的机理。血气分析资料表明肺心病病人的消耗性凝固障碍与呼吸功能不全有密切关系,低氧血症及具继发的红细胞增多是促进DIC发生发展的重要因素。血小板减少在肺心病并发DIC的病例中出现较早,可作为急性或慢性DIC早期诊断的指标。
This article reports 14 cases of acute pulmonary erosive heart disease complicated with DIC, 16 cases of suspected DIC, and 10 cases of pulmonary heart disease without this complication as control group. Patients with lesions in patients with pulmonary encephalopathy accounted for 73.3%. 21 died, 4 cases improved, 5 cases were discharged automatically. This article discusses the mechanism of pulmonary heart disease complicated by DIC. Blood gas analysis data show that patients with pulmonary heart disease Consumption of coagulation disorders and respiratory insufficiency are closely related to hypoxemia and secondary erythrocytosis is an important factor in promoting the development of DIC. Thrombocytopenia in patients with pulmonary heart disease complicated by DIC earlier, can be used as an indicator of early diagnosis of acute or chronic DIC.