56例肺性脑病诱因分析  

Clinical analyse of 56 cases with pulmonary encephalppathy

作　　者：王岷[1] 

机构地区：[1]山东济南市铁路中心医院呼吸内科,250001

出　　处：《中国临床保健杂志》2004年第6期440-441,共2页Chinese Journal of Clinical Healthcare

摘　　要：目的　分析肺性脑病各种诱发因素。方法　回顾性分析 5 9例肺性脑病患者的临庆资料。结果　 5 6例 (94 9% )肺性脑病有明显诱因 ,多因素构成比 >单因素构成比 ,依次为感染加重 4 3例 (76 7% ) ,心功能不全或心律失常 30例 (5 3 5 % ) ,不合理氧疗 2 5例 (44 6 % ) ,大量利尿剂的应用 2 2例 (39 2 % ) ,电解质紊乱 15例 (2 6 7% ) ,不适当地应用镇静麻醉药 10例 (17 8% ) ,上消化道出血 5例 (8 9% )。结论　及早去除诱因 ,综合治疗 ,可降低病死率。Objective To analysis the ratio of the precipatate factors of pulmonary encephalopathy.Methods The clinical data of 59 patients suffering from the pulmonary encephalopathy was analysed retrospectively.Results 56 cases of 59 patients(94.9%) had obvious precipatate factors,which were severe infection(43 cases,76.7%),heart failure or cardiac arrhythmia(30 cases,53.5%),unreasonable oxygen therapy(25 cases,44.6%),massive use of urinative drugs(22 cases,39.2%),electrolyte disorder(15 cases,26.7%),unreasonable use of sedative drugs(10 cases,17.8%),the up digestive tract bleeding(5 cases,8.9%).Conclusion To do away with the precipatate factor as soon as possible and take synthesizing treatment,can reduce the mortality rate.

关 键 词：肺性脑病 诱因 病死率 

分 类 号：R747.9[医药卫生—神经病学与精神病学]