弥漫性血管内凝血(以下简称DIC)可并发于多种疾病过程,但并发于肺心病则尚未见报道。我科从1973年5月1日至1974年4月30日收治肺心病患者39例,共住院42例次(多数是重度呼吸衰竭病例),其中并发DIC者7例,并发率为16.6％;7例中6例死亡,占同批肺心病死亡例数的46.1％。肺心病患者出现DIC表示病情进入严重阶段,起初由于对这一并发症注意不够,早期往往被忽略,晚期则虽经多方积极抢救,病死率仍然极高,成为我们观察的肺心病患者的主要致死原因之一,也是我们抢救肺心病过程中遇到的一大难题。去年入秋以来,我们在抢救工作中,对肺心病合并DIC患者,运用中西医两套诊断和治疗方法,逐步摸索中医辨证与西医诊断间的关系;对肺心病合并DIC的早期诊断提高了警惕性。通 Diffuse intravascular coagulation (hereinafter referred to as DIC) can be complicated by a variety of disease processes, but concurrent pulmonary heart disease has not been reported. Our department from May 1, 1973 to April 30, 1974 admitted to patients with cor pulmonale in 39 cases, a total of 42 hospitalizations (mostly severe respiratory failure cases), including 7 cases of concurrent DIC, the incidence was 16.6%; 6 cases died in 7 cases, accounting for 46.1% of the death cases of the same batch of pulmonary heart disease. Coronary heart disease patients with DIC said that the disease entered a serious stage, initially due to inadequate attention to this complication, often neglected in the early stage, despite aggressive rescue by many parties, the case fatality rate is still extremely high, as we observed the main death of patients with cor pulmonale One of the reasons is also one of the big problems we encountered during the rescue of pulmonary heart disease. Since the autumn last year, we have rescued the DIC patients with pulmonary heart disease complicated with DIC by using two sets of diagnostic and therapeutic methods of TCM and Western medicine to gradually explore the relationship between TCM syndrome differentiation and western medicine diagnosis. We are vigilant in the early diagnosis of pulmonary heart disease complicated with DIC Sex. through