【摘要】 本文报告肺性脑病４６例（男２５例，女２１例）年龄５４～８４岁，其中轻型１４例，中型２１例，重型１１例，神经系统主要表现包括仅有精神障碍，兼有某些神经体征和并发有严重合并症三种情况，发生肺脑的主要原因为感染、气道痉挛及痰阻、心衰、不适当利尿及不适当吸氧等。神经系统症候与ＰａＣＯ_２升高、ＰａＯ_２降低、低钠、低氯和低镁等关系密切。轻中型者应给予抗感染、防止痰阻、合理供氧、缩唇呼吸和膈肌起搏等治疗；重度者应及时转入呼吸监护室，必要时人工通气。治疗结果为缓解出院３１例，死亡１５例，住院死亡率３２．６％。更多还原

【Abstract】 Fourty six case of pulmonary encephalopathy were reported,of which 25 were male and 21 female,aged from 54 to 86 years old,and the mild,moderate and severe cases were 14,21 and 11 respectively.The clinical manifestations of nervous system could be divided into 3 types:psychonosema only,combined with nervous signs,and complicated with serious complications. The factors led to pulmonary encephalopathy mainly included:infection,airway sputum obstruction,cardiac failure,improper use of diuretic and oxygen,The nervous symptoms also related to the increased PaCO2,reduced PaO2, low sodium, low chloride and low magnesium.The treatments of mild and moderate cases mainly included antibiotics,relieving sputum obstruction, proper oxygen inhaling,pursed lips breathing and diaphragm pacemaker.The severe case shoule be transferred to monitoring respiratory ward promptly,Artificial ventilation was used in some cases,The results of treatment showed 31 cases were remitted,15 died,i,e,the mortality was 32.6%.更多还原