慢性肺心病20年随访分析

目的探索加强慢性肺心病防治,降低病死率的方法.方法自1974年～1994年20年间共对429例慢性肺心病进行5次随访,每次随访全面体检并行胸片、心电图、超声心动图、血气分析检查.于1994年对35例病人进行治疗前后氧自由基的变化研究,并培训基层医务人员,开展家庭病床及氧疗.结果429例慢性肺心病患者,存活者18例,死亡411例,平均死亡年龄66 1±4.6岁,死亡的主要原因是严重感染、呼吸衰竭或心力衰竭.结论加强肺心病患者的随访,培训基层医务人员,建立家庭病床及开展氧疗是提高肺心病患者生活质量,降低病死率的主要措施.

20 Years' Follow-up of Chronic Pulmonary Heart Disease

Objectives: To improve the treatment and prevention of chronic pulmonary heart disease and reduce its mortality. Methods: During 1974 - 1994, we followed up 429 patients with chronic pulmonary heart disease for 5 times, and did overall physical examination with x - ray film, ECG, UCG, blood gas analysis for each time. In 1994, we studied on the change of O2 in 35 patients with chronic pulmonary heart disease before and after treatment together with trainning local physicians, developing family beds and O2 therapy. Results: Among 429 patients with chronic pulmonary heart disease, 18 patients survived for 20 years, and the rest had died, the mean age of death was 66. 1 -4. 6. The main causes of death were severe infectiion, respiratory and heart failure. Conclusion: Following up of the patients, trainning local medical staff, developing family beds and O2 therapy are the main approaches for improving living quality and reducing mortality.