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肺心病主要是由于支气管-肺组织或肺动脉及其分支的原发病变引起的肺动脉高压所导致的心脏病。上消化道出血是肺心病晚期较严重的并发症之一。我院于1990～1998年,共收治肺心病328例,其中并发上消化道出血7例,占总发病的2.16％。本文就该并发症的有关问题进行讨论。1 临床资料1.1 7例病人中,男性5人,女性2人,年龄在52～76岁之间,平均62岁,慢性支气管炎病史最短12年,最长30年。7例均有充血性心力衰竭及严重的呼吸衰竭。7例分别有肺性脑病、休克、酸碱平衡失调等合并症。7例中均有吸烟史,有胃病史2人,急性呕血3人,不规则间断便血3人,另1例是先出现休克后12小时排出大量黑便。
Pulmonary heart disease is mainly due to pulmonary heart disease caused by pulmonary hypertension caused by the primary lesion of bronchial-pulmonary tissue or pulmonary artery and its branches. Upper gastrointestinal bleeding is one of the more serious complications of advanced pulmonary heart disease. Our hospital from 1990 to 1998, a total of 328 cases of pulmonary heart disease, of which 7 cases of upper gastrointestinal bleeding, accounting for 2.16% of the total incidence. This article discusses the issues related to this complication. 1 Clinical data 1.1 7 patients, 5 males and 2 females, aged 52 to 76 years old, an average of 62 years old, the shortest history of chronic bronchitis 12 years, up to 30 years. All 7 patients had congestive heart failure and severe respiratory failure. 7 cases were pulmonary encephalopathy, shock, acid-base balance disorders and other complications. There were 7 cases of smoking history, history of gastric 2 people, 3 patients with acute vomiting, irregular intermittent blood in the stool 3, the other is the first shock 12 hours after the discharge of a large number of black.