56例慢性肺源性心脏病临床分析

目的　探讨慢性肺源性心脏病的临床特点及防治措施。方法　对 2 0 0 2年 10月至 2 0 0 4年 1月 5 6例慢性肺心病的临床表现、实验室及辅助检查和治疗措施进行回顾性析。结果　慢性肺源性心脏病的病因以慢性阻塞性肺疾病最常见 ,多有长期大量吸烟史 ;临床表现有发热、咳嗽、咳白粘痰、呼吸困难、肺部罗音、紫绀和浮肿 ,常合并有电解质紊乱、肝肾功能损害 ;死因主要为心力衰竭和呼吸衰竭。结论　慢性肺源性心脏病病情复杂 ,常合并有多脏器功能改变 ,临床治疗应采取以抗感染、合理氧疗、加强营养和对症治疗为主的综合措施 ,机械通气治疗日益受到重视。戒烟和预防上呼吸道感染是减少发病率和阻止病情发展的重要措施。

Clinical analysis of 56 cases with chronic pulmonary heart disease

Objective To study clinical characteristics of chronic pulmonary heart disease.Methods Clinical manifestations, laboratory examinations, adjuvant and treatment methods of 56 patients diagnosised with chronic pulmonory heart disease (CPHD) from Oct. 2002 to Jan. 2004 were analyzed retrospectively. Results The main reasons for the disease were chronic obstructive pulmonary disease, most of them had a long history of smoking. The main clinical manifestations were fever, cough, white phlegm, dyspnea, vesicular rale cyanosis, double legs edema, and so on. Most patients had abnormal hepatic and nephritic function. The patients mainly died of heart failure and respiratory failure. Conclusion Chronic pulmonary heart disease is always complicated with multi-organ dysfunction. Clinically-combined therapy methods includes anti-bacteria, rational oxygen therapy, nutrition support and syndrome management. Mechanical ventilation therapy has become increasingly important. Giving up smoking and preventing upper respiratory infection can reduce the incidence rate and prevent the conditions from deteriorating.