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肺性脑病产生的发病原理颇为复杂,以肺心功能衰竭所引起的缺氧、高碳酸血症、酸碱平衡紊乱所致脑部缺氧,二氧化碳潴留导致脑代谢紊乱,脑血管扩张及脑水肿的产生有着密切的关系,肺心病合并肺脑治疗效果较差,死亡率较高,目前治疗肺脑的常规治疗方法均采用抗炎,改善通气功能使用呼吸中枢兴奋剂及激素治疗,以上药物在改善脑部神经精神症状方面效果较差.1990年以来我院收治肺心病并发肺脑,除采用常规治疗方法外加用胞二磷胆碱,在改善肺脑的神经精神症状方面收到了良好的效果.
The pathogenesis of pulmonary encephalopathy is quite complex, with pulmonary heart failure caused by hypoxia, hypercapnia, acid-base disorders caused by brain hypoxia, carbon dioxide retention caused by cerebral metabolic disorders, cerebral dilatation and brain Edema has a close relationship, pulmonary heart disease with pulmonary and cerebrovascular treatment of poor, higher mortality, the current treatment of lung and brain conventional treatment methods are used anti-inflammatory and improve ventilation function using respiratory stimulants and hormone therapy, the above drugs In the improvement of brain neuropsychiatric symptoms less effective since 1990, our hospital admitted to pulmonary heart disease complicated with pulmonary brain, in addition to the use of conventional treatment with citicoline, to improve neuropsychiatric symptoms of lung and brain received a good effect.