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1 临床资料慢性肺原性心脏病呼吸衰竭时,由于缺氧、二氧化碳潴留,易合并上消化道出血,致使病情恶化。我们在1994年1月至1995年4月间收治了72例患者,均符合1978年制定的肺原性心脏病诊断标准,随机分为两组,观察组35例,对照组37例。入院后,有黑便或呕血者,不入选临床研究。入院时,对照组内Ⅱ度心力衰竭9例,Ⅲ度心力衰竭28例,其中轻度呼吸衰竭10例,中度呼吸衰竭13例,重度呼吸衰竭14例。观察组内Ⅱ度心力衰竭8例、Ⅲ度心力衰竭27例,其中轻度呼吸衰竭8例,中度呼吸衰竭12例,重度呼吸衰竭15例。两组患者的性别、年龄、心力衰竭、呼吸衰竭构成均经统计学处理,无明显差异(P>0.05)。全部病例无慢性胃病
1 clinical data of chronic pulmonary heart disease respiratory failure, due to hypoxia, carbon dioxide retention, easy to merge upper gastrointestinal bleeding, resulting in deterioration. From January 1994 to April 1995, we treated 72 patients, all of whom were in line with the diagnostic criteria of pulmonary heart disease established in 1978. They were randomly divided into two groups: 35 cases in the observation group and 37 cases in the control group. After admission, there are melena or vomiting, not included in the clinical study. At admission, 9 patients with grade Ⅱ heart failure and 28 patients with grade Ⅲ heart failure included 10 patients with mild respiratory failure, 13 patients with moderate respiratory failure, and 14 patients with severe respiratory failure. In the observation group, 8 cases of grade Ⅱ heart failure and 27 cases of grade Ⅲ heart failure included mild respiratory failure in 8 cases, moderate respiratory failure in 12 cases and severe respiratory failure in 15 cases. The two groups of patients with gender, age, heart failure, respiratory failure were statistically processed, there was no significant difference (P> 0.05). All cases without chronic stomach disease