| Objective:To investigate the reason of abnormal mental nerve of patients with chronic obstructive pulmonary disease,
and to formulate the strategy of treatment.Methods:The clinical data of 250 patients with acute exacerbation of chronic obstructive
pulmonary disease was analyzed retrospectively in our hospital.Results:32 patients appeared nervous and mental symptoms, accounted
for 12.80%. Including 17 cases of pulmonary encephalopathy, accounted for 53.13% (17/32), 8 cases of hypotonic encephalopathy,
accounted for 25%(8/32), 5 cases of adverse drug reactions, accounted for 15.63% (5/32), 2 patients with cerebral infarction, accounted
for 6.25% (2/32). All patients were given conventional treatment of acute exacerbations of chronic obstructive pulmonary disease, at the
same time, the measurement of positive correction of carbon dioxide retention was given to the patients of pulmonary encephalopathy;
the encephalopathy were given positive correction of electrolyte imbalance and low permeability; the cerebral infarction patients were
given treatment of thrombolytic, dehydration, brain nutrition, anticoagulation, antiplatelet therapy according to the condition of patients
with adverse drug. After treatment, 29 cases symptom recovery, accounting for 90.63%, 3 cases died, the mortality was 9.38%, including
2 cases of pulmonary encephalopathy patients, 1 case of hypotonic encephalopathy.Conclusions:In the treatment of acute exacerbation of
chronic obstructive pulmonary disease complicated with abnormal mental, it should be according to the patient's symptoms, signs and
auxiliary examination results, early diagnosis, to give timely intervention, control the illness as soon as possible, and to prevent
deterioration. |
