摘要
本文总结我院1985年1月到1980年10月住院肺心病102例死亡病例.其死亡率占同期内科住院病人的0.86%,占同期肺心病住院病人的10.47%,经过分折,发现102例死亡病例以革兰氏阴性细菌感染居多,约占70.1%(47/67),而抗感染治疗失败.电解质紊乱以及多器官功能损害,促使呼吸衰竭,使肺心病的治疗效果较差,从而看出抗感染治疗,呼吸衰竭的处理,纠正电解贡紊乱,预防多器官功能障碍,是降低肺心病死亡率,提高治疗效果的关键。
102 cases died from chronic Cor pulmonale during hospitalization from Jan.1985 to Oct.1990 were analysed.The mortality in hospitalized patients in.internal medicine was 0.86% and in hospitalized patients with Cor pulmonale was 10.47% in same period.The results suggested that most patients(70.1%) died from Gram negative bacterial infection,failure in antiinfecfior,inbalence of electrolytes and malfunction of multiple organs,made the therapoutics with poor effect.Therefore,the key points for decreasing the mirfalit of Cor pulm nale were the antinfectior,intensive care of respiratory failure, keepiny balauce of eleetrolytes,prevention of maefuaeeion of multipple organs and treatment of camplication at times.
