肺心病并急性胃粘膜损伤临床研究

Clinical study of pulmonary heart disease complicated with acute lesion of gastric mucosa

为探讨肺心病并急性胃粘膜损伤的原因，对１２例缓解期及４８例急性发作期伴呼吸衰竭的肺心病病人进行了血气分析，血清胃泌素及急性胃粘膜病变的对比研究。结果表明肺心病并急性胃粘膜损伤与低氧血症、高碳酸血症及血清胃泌素增高有关，其发生率的高低与低氧血症及高碳酸血症的程度无关，而随血清胃泌素不断增高而增多。认为血清胃泌素的增高是造成肺心病急性胃粘膜损伤的主要原因。

In order to study the causes of pulmonary heart disease comlicated with acute lesion of gastric mucosa, a comparative study of blood gas analysis. serum gastrin and acute lesion of gastric mucosa was performed in 12 cases of pulmonary heart disease in remission stage and 48 cases in acute stage of attack. The results showed that pulmonary heart disease complicated with acute lesion of gastric mucosa is related to hypoxemia, hypercapnia and increase in serum gastrin. Its incidence rate is not associated with extent of hypoxia and hypercapnia, but increases with increasing serum gastrin. It is indicated that the increasein serum gastrin is the main cause of acute lesion of gastric mucosa.