Analysis of the reasons caused disturbance of consciousness in chronic obstructive pulmonary disease with a-cute exacerbation
10.3760/cma.j.issn.1008-6706.2009.06.004
- VernacularTitle:慢性阻塞性肺疾病急性加重期意识障碍的原因分析
- Author:
Qingxiong ZHU
;
Yingping LUO
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Acute exacerbation;
Consciousness
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(6):967-968
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the chronic obstructive pulmonary disease with acute exacerbation(AE-COPD) of eonseiousneas. Methods For January 2004 to June 2008, AECOPD clinical data were reviewed retroepec-tively. Results 5 yeats treated 310 eases with AECOPD,impaired consciousness occurred in 16. 8% (52/310) : 29cases of pulmonary encephalopathy, hypotonic encephalopathy 12 cases ,5 cases of cerebral infarctinn,4 cases of drug-induced;clinical symptoms often show a variety,may be characteristic,but the cause of death by up to 55.6% of the total number of deaths(10/18). Conclusion AECOPD had high incidence of disturbance of eonseiousneas,and it isdiflleult to avoid completely;should pay attention to identify,first perform head CT or MR/examination to exclude or-ganic brain disease,according to arterial blood gas analysis,bloed electrolyte,to further determine the cause.
