慢性阻塞性肺病呼吸衰竭并发锥体外路系统损害的初步探讨  

Discussion on Respiratory Failure from Chronic Obstructive Pulmonary Diseases( COPD) and Extrapyramidal System Damage

作　　者：孙毅[1] 刘蓝 

机构地区：[1]长春大学校医院,长春130022 [2]长春通源医院内科,长春130012

出　　处：《长春大学学报》2014年第12期1690-1691,1695,共3页Journal of Changchun University

摘　　要：选取44例COPD动脉血气为Ⅱ型呼吸衰竭患者,其中重度缺氧29例,中度缺氧15例。44例均为复合性酸碱失衡,呼吸型三重酸碱失衡10例。临床表现：手指静止性震颤39例,扑翼样震颤24例,呈＂齿轮状＂抵抗18例,头部颤动6例。对11例病情严重影响正常生活者给予美多巴试验性治疗5-7天治愈。得出：COPD低氧血症,高碳酸血症及酸碱失衡并发锥体外路系损害早期是可逆性的,积极治疗呼吸衰竭、纠正低氧血症,可防止并发锥体外路系统损害。44 cases of patients of respiratory failure from COPD with ]I type arterial blood gas are selected, among whom, 29 cases with severe anoxia and 15 cases with moderate anoxia. All of the 44 cases have compound acid-base unbalance, 10 cases with respiratory type triple acid-base unbalance disorders. Clinical symptoms：there are 39 cases with finger static tremor,24 cases with flapping tremor, 18 cases with gear-shaped resistance and 6 cases with head tremor. Madopar experiential treatment for 5 -7 days is given to 11 serious patients whose disease has affected their normal life. Conclusion： It is reversible for patients with early COPD hypoxemia, hypercapnia, acid-base unbalance and extrapyramidal system damage. The active treatment of respiratory failure and hypoxemia can prevent extrapyramidal system damage.

关 键 词：慢性阻塞性肺病 锥体外路 

分 类 号：R563[医药卫生—呼吸系统]