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目的阐述尘肺并发症的临床特点,为积极预防和治疗提供科学依据。方法选取2006年3月～2010年10月在新疆职业病医院住院治疗的305名尘肺患者作为研究对象,即用大容量肺灌洗治疗早期尘肺病患者,分析治疗效果及预后。结果 305名尘肺患者中,278例患者出现了不同程度的呼吸系统、循环系统、消化系统的并发症,经大容量肺灌洗治疗后,87.2%的患者改善了临床症状,肺功能改善率63.0%。结论此治疗法并不适合所有尘肺患者,出现严重并发症的患者需要根据病情进行综合性治疗,以降低尘肺患者的死亡率。
Objective To describe the clinical features of pneumoconiosis complications and provide a scientific basis for active prevention and treatment. Methods A total of 305 patients with pneumoconiosis who were hospitalized in Xinjiang Occupational Disease Hospital from March 2006 to October 2010 were selected as the study subjects. Patients with early pneumoconiosis were treated with high-capacity lung lavage, and the therapeutic effect and prognosis were analyzed. Results Of the 305 pneumoconiosis patients, 278 patients experienced varying degrees of respiratory, circulatory, and gastrointestinal complications. After high-volume pulmonary lavage, 87.2% of the patients improved their clinical symptoms and the improvement rate of pulmonary function was 63.0 %. Conclusion This treatment is not suitable for all patients with pneumoconiosis. Patients with serious complications need to be treated comprehensively to reduce the mortality rate of pneumoconiosis patients.