肺心病急性加重期合并意识障碍病因分析  

Etiological Analysis of Pulmonary Heart Disease Combined with Disturbance of Consciousness in the Acute Exacerbation Period

作　　者：金洋[1] 王颖[2] 王凯权[3] 王金叶[1] 

机构地区：[1]巴彦淖尔市医院急诊医学科,内蒙古巴彦淖尔015000 [2]巴彦淖尔市医院肾内科,内蒙古巴彦淖尔015000 [3]巴彦淖尔市医院重症医学科,内蒙古巴彦淖尔015000

出　　处：《包头医学院学报》2014年第3期29-30,共2页Journal of Baotou Medical College

摘　　要：目的:分析肺心病急性加重期患者合并意识障碍的发病因素、临床特点及防治措施。方法:对46例肺心病急性加重期出现意识障碍患者的临床资料进行回顾性分析。结果:肺心病急性加重期合并意识障碍原因以肺性脑病最常见,其次为低渗性脑病,其它如感染中毒性脑病、代谢性碱中毒及脑梗死等次之。结论:肺心病急性加重期合并意识障碍的原因是多方面的,需及时完善相关检查,避免误诊。Objective：To analyse the risk factors,clinical features and prevention measures in the patients with pulmonary heart disease combined with acute exacerbation of consciousness disturbance. Methods：The clinical data of 46 cases of pulmo-nary heart disease combined with disturbance of consciousness were retrospectively analyzed. Results：Pulmonary encephalopathy is the most common cause for disturbance of consciousness in the patients with pulmonary heart disease,and then hypotonic en-cephalopathy,followed by other issues such as infectious toxic encephalopathy,metabolic alkalosis and cerebral infarction. Con-clusion：There are many reasons for acute exacerbation of pulmonary heart disease combined with disturbance of consciousness and the relevant checks need to be timely perfected so as to avoid misdiagnosis.

关 键 词：肺心病 急性加重期 低钠血症 肺性脑病 低渗性脑病 

分 类 号：R541.5[医药卫生—心血管疾病]