肺心病急性期38例的治疗分析

Analysis of Thirty Eight Cases of Cor Pulmonale with Acute Exacerbation

本文报告38例肺心病急性期的治疗,在常规治疗中,特别注意抗感染,合理氧疗,选用血管扩张剂降低肺动脉高压,对难治性心衰静脉滴注硝酸甘油及口服甲巯丙脯酸,呼吸衰竭并气道阻塞患者进行气管切开,施行机械通气,从而改善心、胂功能。35例患者肺部感染、慢性心衰获得控制,平均住院27.8天,3例死亡。

Thirty-eight cases of acute exacerbation of cor Pulmonale was reported. Author emphasized that in treating such patients ,one must to the control of respiratory infection, and using of vasodilators and proper way of oxygen taeatment to reduce the pulmonary hypertension, for protected heart failure,i, v. drip of nitroglycerin and P. O. captopril were effective. If breath exhaustion and respiratory tract obstuction occurred by bronchial scretion, tracheostomy and mechanical (respiration)should be earily given to improve the cardiac and pulmonary functions. Thirty-five cases,thus treated, had the pulmonary infection and chronoc congestive heart failure controlled. The average hospital days were 27. 8. They all walked out the hospital. 3 patients died.