肺性脑病（Pulmonary encephalopathy）.docVIP

肺性脑病（Pulmonary encephalopathy） Pulmonary encephalopathy Pulmonary encephalopathy Pulmonary encephalopathy (pulmonary, encephalopathy, PE) also known as emphysema encephalopathy, carbon dioxide anesthesia or hypercapnia, various neuropsychiatric symptoms caused by chronic lung and chest diseases associated with respiratory failure, resulting in hypoxemia and hypercapnia a clinical syndrome. Is a traditional Chinese medicine , delirious with blinded judgment, coma category. Pathogeny 1. due to chronic emphysema, chronic bronchitis and pulmonary tuberculosis, such as scoliosis, back bend, amyotrophic lateral sclerosis, myasthenia gravis Pulmonary encephalopathy Etc. 2. acute respiratory tract infection, severe bronchospasm, sputum obstruction and so on, so that lung ventilation and ventilation function is further reduced. 3., left heart failure leads to further reduction and deposition of brain blood, increasing carbon dioxide retention and hypoxia in the brain. 4., the use of diuretics, water and electrolyte disorders, gastrointestinal bleeding, shock, DIC and so on can also cause pulmonary encephalopathy. 5. inappropriate treatment, such as the use of high concentrations of oxygen, can reduce the sensitivity of the carotid artery to hypoxia, leading to inhibition of respiratory centers: the use of sedatives (such as barbiturates, chlorpromazine) inappropriate, can inhibit respiratory center. Pathogenesis It is caused by CO2 poisoning or by CO2 anesthesia, respiratory acidosis and hypoxia. Clinical manifestation The clinical features include worsening of respiratory failure and neurological symptoms, such as delirium, lethargy or delirium, convulsions of the limbs, or even coma. Men and women can be seen, more commonly seen in men, the mortality rate of more than 30%. The main clinical manifestations were headache, dizziness, memory loss, easily excited, multilingual or less language, insomnia and other symptoms of hypothyroidism and cerebral cortex function disturban