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肺性脑病可围误诊而使病情加重;或把具有焦虑、恐惧及电解质紊乱的病人误诊为肺性脑病:肺性脑病也可因治疗不当而致死。现介绍实际教训4例。病例报告例一、男性,60岁,因昏迷1小时于1975年2月9日清晨来院就诊。据了解患者屋内生有煤火,发病急而昏迷。急诊室医生视病情危重,便简单了解病情与粗略检查后,以一氧化碳中毒收治住院。后经详细询问病史,才知患者有慢性气管炎十余年,不久前因本病住院好转后出院。近一周来嗜睡,昨日受凉后咳嗽,吐白色粘痰。查体:体温35.1℃,呼吸16次/分,血压90/40
Pulmonary encephalopathy can be misdiagnosed and exacerbations; or patients with anxiety, fear and electrolyte disorders misdiagnosed as pulmonary encephalopathy: pulmonary encephalopathy may also be due to improper treatment and death. Now introduce the actual lesson in 4 cases. A case report, a male, 60 years old, coma for 1 hour on the morning of February 9, 1975 to hospital. It is understood that patients have fire coal house, acute onset and coma. Emergency room doctors as critically ill, they simply understand the condition and rough check, admitted to hospital with carbon monoxide poisoning. After detailed medical history, I discovered that patients with chronic bronchitis more than ten years, not long ago due to hospitalization of the disease improved after discharge. Nearly a week to lethargy, coughing after the cold yesterday, spit white phlegm. Physical examination: body temperature 35.1 ℃, breathing 16 beats / min, blood pressure 90/40