Postoperative gastric emptying delay of functional remnant syndrome _6388

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Postoperative gastric emptying delay of functional remnant syndrome
 
 
Luoyang City People's Hospital Medical 471O0O) in our hospital in 1993 February 1 February 1997 were admitted to acute exacerbation of chronic pulmonary heart disease patients with 208 cases, 43 deaths down, accounting for patients with pulmonary heart disease ∞. 7%. Now the cause of death is as follows. Clinical information - General information 38 males and 5 females. Men were more than women. Under the age of 59, 6 down, ∞ ~ back to the age of l8 patients ,70-79 years,You are not allowed to view links. Register or Login, 12 cases over the age of 7 down 80. Accounting for all age groups of patients with pulmonary heart disease 12.5% ​​(6 / 48), ∞. 5% (18 / '88),You are not allowed to view links. Register or Login, ∞. 7% (12/58), 50% (That with increasing age, the mortality rate by new high. Deaths down 43 basis Huang disease patients. Chronic bronchitis, emphysema 37 down. Pulmonary tuberculosis received,You are not allowed to view links. Register or Login, pulmonary interstitial fibrosis in 2 cases of obstructive emphysema and spontaneous pneumothorax in 2 cases. The cause of death was respiratory failure,You are not allowed to view links. Register or Login, psychiatric symptoms are down 48.8% 21. No psychiatric symptoms l6 down 37.2%. 18 serious infections down 41.9%, 11.6% in 5 cases of heart failure. Upper gastrointestinal bleeding in 3, 7.0% down, 8 cases of renal dysfunction, 18.6%, acute myocardial infarction accounted for 3 down 7O%, systemic failure, 2 down 4.7%, l cases of disseminated intravascular coagulation accounted for 2.3%. 2 dead buried down 4.7% from the total white blood cells and mortality in ≥ 10 × lo0 / see mortality rate was 58.6 ~ (41/70). And <10 × l The mortality was 1.4% a few (21) / 138); ≥ 80% neutrophils were 63.1% mortality rate. The The number of concurrent damage to more than dirty water lizard with acute exacerbation of chronic pulmonary heart disease deaths down 43 pulmonary encephalopathy 21 down. 5 inverted heart failure. Upper gastrointestinal bleeding in 3 down. 8 cases of renal dysfunction, liver damage 6 down: ten or more involved organs 2 heart failure, pulmonary encephalopathy mainly upper gastrointestinal bleeding. 3 more than ten to heart failure, pulmonary encephalopathy, upper gastrointestinal bleeding, kidney damage based. Ten or more 4 or more organ damage is mainly under the fork in disseminated intravascular coagulation occurs. Discussed mostly elderly patients with pulmonary heart disease, longer duration, more organs involved, treatment complex. Often in a short time with acute exacerbation of death. Those who died in car group of 43 down 86.0% over 60 years old, and mortality in all age groups with age-by-new high. Cold Pulmonary Heart Disease caused by infection. Together with old and feeble, immune dysfunction, weak resistance caused by mixed infection. The group of white blood cell levels were down 70 down 41 death. Mortality rate of turn. 6%, while 133 fell 2 patients died with normal white blood cells, particularly neutrophils increased mortality rate was 63.1%. Pulmonary Heart Disease on the effective and rational use of antibiotics to control infection is the key to treatment. Pulmonary encephalopathy with acute exacerbation of pulmonary heart disease is an important complication. Is also the leading cause of death. Deaths in this group pulmonary encephalopathy 2l down. Among the major causes of death in the top the list. Consistent with the literature. 43 cases of death following conditions before death occurs often poor prognosis. ① sustained hypoxemia: The anti-inflammatory, antispasmodic, oxygen therapy, anticoagulation, comprehensive treatment of respiratory difficulties, cyanosis no improvement. 02 continuing rise or decreased; ② upper gastrointestinal bleeding: a low serum potassium levels are not Chong interpretation of song, including the performance of the brain jump abdominal distension, anorexia, once the tar-like stools or vomiting are often shown a poor prognosis; ③ metabolic disorders: acid-base balance and electrolyte imbalance, triple acid-base balance, and persistent hypokalemia, hyponatremia, in the event not only increase the clinical symptoms and intractable. Can directly lead to death; ④ multiple organ damage: the high incidence. In addition to training led to a vicious circle outside the treatment also caused many difficulties, and often speed up a patient's death; ⑤ part and iatrogenic factors: such as the inadvertent use of sedatives, drugs to be used improperly induced adrenal myocardial infarction, cardiac and high-dose diuretic induced by excessive heart rate disorders, worsening heart failure Dengjun increased mortality. Prevention and treatment of heart disease in the lung in infection control to save and improve ventilation. Anticoagulation. Enhance immunity and support the treatment would be an important means to further reduce mortality. Received £ 1997-10 a Pu (Continued from page 24)