慢性肺源性心脏病合并消化道出血临床分析

Clinical Analyses of Chronic Lung Source Heart Disease Merging Digestive Tract Bleeding

目的探讨慢性肺源性心脏病合并消化道出血的临床特点及治疗。方法对75例慢性肺心病并发消化道出血患者的临床表现、发病因素及治疗情况进行回顾性分析。结果75例患者临床均表现为咳嗽、咳痰、发绀、呼吸困难;急性呼吸道与肺部感染是肺心病并发消化道出血的主要发病因素;75例患者经治疗,好转出院34例,死亡31例,病情恶化自动出院10例;病死率为41.3%。结论慢性肺心病并上消化道出血,病情危重,伴发病及并发症多,出血不易控制,死亡率高,临床医师应熟悉掌握其病情特点,根据病情发展变化作出果断救治措施,才能最大程度提高抢救成功率。

Objective To explore the clinical characteristic and the treatment the chronic lung source heart disease merging digestion hemorrhage. Methods The patient＇ s clinical manifestation, the morbidity factor and the treatment situation of 75 cases chronic lung heart disease concurrent digestive tract hemorrhage carries on the review analysis. Results 75 patients clinical display the cough, the expectoration, cyanosis, the scant of breath. The acute respiratory tract and the lungs infection is main morbidity factor. 75 cases pass through the treatment, the change for the better and leave the hospital 34 cases, died 31 cases, the aggravation of disease and leave the hospital automatically 10 cases. The case fatality rate is 41.3%. Conclusion The chronic lung heart disease and the upper gastrointestinal hemorrhage, the condition is serious, the complication are many, bleeding is not easy to control, the mortality is high, clinician should grasp its characteristic, make the decisive treatment measure according to the condition development change, can enhance rescue success ratio at the maximum degree.