慢性肺源性心脏病76例临床分析

Clinical analysis of 76 cases with chronic pulmonary heart disease

目的探讨慢性肺源性心脏病的临床特点及防治措施。方法对76例慢性肺源性心脏病进行临床资料分析。结果慢性肺源性心脏病的病因以慢性阻塞性肺疾病最常见,多有长期大量吸烟史;临床表现以发热、咳嗽、咳白粘痰、呼吸困难、肺部啰音、紫绀和浮肿为主,咳痰以白粘痰为主;常合并有电解质紊乱、肝肾功能损害;死因主要为心力衰竭和呼吸衰竭。结论慢性肺源性心脏病病情复杂,常合并有多脏器功能改变。临床治疗应采取以抗感染、合理氧疗、加强营养和对症治疗为主的综合措施及机械通气治疗。

Objective To study clinical characteristics of chronic pulmonary heart disease, prevention and treatment methods according to clinical analysis of 76 cases with chronic pulmonary heart disease. Methods Clinical manifestations, laboratory examinations, adjuvant and treatment methods of 56 in patients from Jan 2005 to Dec 2008 were analyzed. Results The main causes of chronic pulmonary heart disease were from chronic obstructive pulmonary disease, multiple patients had a long history of smoking. The main clinical manifestations were fever, cough, white phlegm, dyspnea, vesicular rale cyanosis, double legs edema and so on. Complicated with electrolyte distort, the patients were most with abnormal hepatic and nephritic function. The patients died mainly of heart failure and respirato- ry failure. Conclusion Chronic pulmonary heart disease is result of chronic pathological course and always complicated with multi organ disfunction. Clinical combined therapy methods includes anti-bacteria, rational oxygen therapy, nutrition support and syndrome management, mechnical ventilation therapy is taken into more account than ever. Giving up smoking and preventing upper respiratory infection can reduce the morbidity of chronic pulmonary heart disease and prevent the conditions from deteriorating