尘肺并发症 241 例临床观察

目的了解尘肺分期、并发症与治疗效果的关系。方法对某医院收治的241例尘肺病人进行调查，观察不同期别、不同并发症尘肺病人的治疗效果及预后。结果壹期、贰期尘肺患者合并慢性支气管炎分别为50．9％、48．9％，高于叁期尘肺患者27．0％（X^2=6．72，P〈0．05）；贰期、叁期尘肺患者中，合并肺癌分别为10．6％、24．3％，高于壹期尘肺患者3．6％（X^2=13．94，P〈0．05）；以上差异均有统计学意义。尘肺患者合并慢性支气管炎、肺部感染好转率分别为98．2％、85．4％，高于尘肺合并肺癌患者52．2％，差异有统计学意义（X^2=110．33，P〈0．01）。结论呼吸系统的并发症是导致尘肺患者死亡的主要原因。积极防治尘肺并发症是提高尘肺患者生命质量的主要措施。

Clinical observation of 241 cases pneumoconiosis complications

Objective To understand the relationship between pneumoconiosis phase , complications and treatment effect. Methods 241 cases of pneumoconiosis patients were investigated in a hospital , the treatment effect and prognosis of pneumoconiosis patients were observed during different phases, different complications. Results Percentages were 50. 9% and 48.9% in phase one and phase two of pneumoconiosis patients combining with chronic bronchitis , significantly higher than patients with phase three pneumoconiosis by 27.0% （X^2 = 6. 72, P 〈 0. 05 ） ; Percentages were 10. 6% and 24. 3% in phase two and phase three of pneumoconiosis patients, combining with lung cancer, significantly higher 3.6% than phase one of pneumoconiosis patients （X^2 = 14.94,P 〈 0.05 ）. Pneumoconiosis patients with chronic bronchitis, pul- monary infection occupied 98.2% and 85.4% respectively, significantly higher 52. 2% than pn patients com- bining lung cancer patients （X^2 = 110. 33, P 〈 0.01 ）. Conclusion Respiratory complications are the leading cause of death in pneumoconiosis patients. Active prevention and treatment of pneumoconiosis complications are main measures to improve the quality of pneumoconiosis patients＇ life.