肺原性心脏病并发急性脑梗塞18例临床分析  

CLINICAL ANALYSIS OF 18 CASES OF PULMONARY HEART DISEASE WITH ACUTE CEREBRAL INFARCTION

作　　者：张彦[1] 柯峰 

机构地区：[1]内江医科学校内科教研组,四川内江6461003 [2]内江市第五人民医院,四川内江6461003

出　　处：《泸州医学院学报》2004年第2期134-135,共2页Journal of Luzhou Medical College

摘　　要：目的 :探讨肺源性心脑病并发急性脑梗塞的原因、临床诊断及治疗措施。方法 :对 18例肺心病并发脑梗塞者进行临床分析。结果 :18例病例按诊断标准确诊为肺心病并发急性脑梗塞 ,分别根据情况给予降低颅内压、抗凝及对症处理 ,其中 12例病稳定或好转 ,6例死亡。结论 :缺氧导致血液黏度增高是肺心病脑梗塞的重要原因 ,其表现不典型被误诊。早发现 ,早期给予降低颅内压、抗凝治疗是预防发生。Objective: To discuss the cause, diagnosis and treatment of pulmonary heart disease with acute cerebral infarction. Method: 18 cases of pulmonary heart disease with acute cerebral infarction were retrospectively analysed. Result: All the 18 patients were properly diagnosed, treated by reducing the infracranial pressure, using of anticoagulants, or handling based on specific symptoms. 12 of them got better or steady, 6 died. Conclusion: The most important cause of acute cerebral infarction in pulmonary heart disease is the hypoxia which increases blood viscosity. Wrong diagnosis always results from lack of typical symptom. Early discovery and early reduction of the intracranial pressure as well as administration of anticoagulants are the effective measures to prevent its occurrence and successfully salvage the disease.

关 键 词：肺心病 急性脑梗死 临床分析 

分 类 号：R541.5[医药卫生—心血管疾病]