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目的探讨慢性阻塞性肺疾病(COPD)并发低渗性脑病的临床诊治。方法对46例COPD并发低渗性脑病患者的临床资料进行回顾性总结分析。46例患者经积极控制感染,鼻导管持续低流量吸氧(氧流量为1～3L/min),解痉平喘,止咳化痰,保持气道通畅,维持酸碱、水、电解质平衡及营养支持等综合治疗,同时给予补钠。结果 35例(91.30%)血钠恢复正常,神经精神症状消失;4例(8.70%)死亡。结论及时诊断和纠正低渗性脑病能缩短病程,降低病死率。
Objective To investigate the clinical diagnosis and treatment of chronic obstructive pulmonary disease (COPD) complicated with hypotonic encephalopathy. Methods The clinical data of 46 patients with COPD complicated with hypotonic encephalopathy were retrospectively analyzed. 46 patients with positive infection control, nasal continuous low flow oxygen (oxygen flow of 1 ~ 3L / min), spasm and asthma, cough and phlegm, maintain airway patency, maintain acid-base, water, electrolyte balance and nutritional support Comprehensive treatment, while giving sodium supplement. Results Serum sodium returned to normal in 35 cases (91.30%), neuropsychiatric symptoms disappeared and death in 4 cases (8.70%). Conclusions Timely diagnosis and correction of hypotonic encephalopathy can shorten the course and reduce the mortality.