老年慢性肺心病并低渗血症及高粘血症22例分析

Blood hypoosmolality and hyperviscosaemia in 22 aged patients with cor pulmonale

目的 :探讨肺源性心脏病老年人并发低渗透及高粘血症的诊断与治疗对策。方法 :对 2 2例患者血浆渗透压及血液流变学检查 ,证实有低渗血症及高粘血症的老年肺心病患者进行回顾性分析。结果 :本组低渗并高粘血症轻度及中度各 9例 ,重度4例 ,多见于肺心病危重病例。治疗后症状缓解 1 7例 ,死亡 5例。病死者为中至重度患者。结论 :由于临床症状无特异性 ,老年肺心病并发低渗及高粘血症容易漏诊 ,应引起注意 ,治疗上应和肺心病的其它并发症同时治疗 ,以减少死亡。

Objective:To investigate the diagnosis and treatment of blood hypoosmolatity and hyperviscosaemia in aged patients with cor pulmonale;Methods:Hypoosmolality and hyperviscosaemia proved by plasma Osmotic pressure and hemorheology were analysed in 22 aged patients with cor pulmonale;Results:Hypoosmolality and hyperviscosaemia were found in 22 aged severe cor pulmonale.Nine mild cases and 9 moderate cases (osmotic pressure 260-280 mmol/L and 240-259mmol/L,hematocrit >0.50 and 0.55 4 severe cases (osmotic pressure <240mmol/L hematocrit>0.60).After treatment,symptoms of the disease alleviated in 17 patients and 5 patients died of mild to high degree blood hypoosmolality and hyperviscosaemia;Conclusions:It is notable that because of lack of characteristic clinical manifestations,blood hypoosmolalty and hyperviscosaemia are easily to be missed in diagnosis.Treatment of the above conditions should be considered during managing complications of cor pulmonale so as to decrease mortality of the disease. [