【摘要】 <正> 自1973年4月～1983年5月,我院共收治慢性肺心病急性发作期患者560例(801例次)。现就其临床资料及十年来抢救治疗的进展,分析报告如下:更多还原

【Abstract】 The progress in the treatment of chronic pulmonary heart disease during acute excerbation in the period from 1973 to 1983 was analyzed.Mortality rate has been decresed from 36.4 per cent in 1973 to 14.0 per cent in 1983.The factors in the dec-rease of mortality rate are as follows:（1）An intensive care unit was set up in1977.The seriously ill patients could get careful observation,better care and emer-gency treatment.（2）Most complications of the disease were prevented or treated.Itwas necessary for the seriously ill patients to alleviate their hypoxemia so as toprevent damage to the vital organs.When severe hypoxia associated with gastriculcer along with abdominal distention anti-acid drugs such as cimetidine and LiangGe San were administered to prevent bleeding from the digestive tract.To patientsassociated with asthma of DIC,heparin,sorbitrate etc.were given to prevent throm-bosis in the pulmonary capillaries.（3）Clearing of the airway and the respiratorytract was indicated for unconscious patients.4)A large dose of bronchodilators and respiratory center stimulants were used to increase the intraartery PO₂ and decrease the PCO₂ in order to avoid intubation or tracheotomy.（5）A combined use of westerndrugs and Chinese medicine（including antipyretics and detoxicants）in order to helpthe subjects tolerate hypoxemia better and avoid complications.（6）Measurement oflung function and hemodynamics were taken to guide the proper use of medicine andthe appropriate application of respirators.Finally,the development of new techni-ques such as the artificial lung,and artificial blood which might further decreasethe mortality in subjects suffering from chronic pulmonary heart disease during acuteexacerbation.更多还原