What are the symptoms of cor pulmonale

Common symptoms of cor pulmonale and cerebrovascular disease include mental disorders, such as impaired consciousness, drowsiness, or abnormal neurological symptoms, or myoclonus, retinal hemorrhage, memory loss, abnormal excitement, etc. It is recommended that the safety protection of patients must be strengthened.

1. Mental disorders: ① Impairment of consciousness: drowsiness or confusion, delirium and even coma. ② Manic state. ③Inhibitory state. ④ Hallucination or delusion state.

2. Neurological symptoms: pterygium tremor or spasm, myoclonus, papilledema, retinal hemorrhage, diplopia, etc.

The clinical characteristics are aggravation of the original respiratory failure symptoms and the emergence of neuropsychiatric symptoms such as confusion, drowsiness or delirium, limb convulsions and even coma. It can occur in both men and women, but is more common in men, with a mortality rate of over 30%.

3. The main clinical manifestations are headache , dizziness, memory loss, excitability, hyperphasia or paucity of words, insomnia and other symptoms of cerebral cortical dysfunction as well as impaired consciousness and mental abnormalities. Some patients may have vomiting and papilledema. The incidence of neurological damage is approximately 53%. It belongs to the category of "phlegm confusing the mind", "delirium" and "coma" in traditional Chinese medicine.

4. Precautions before treatment

1. Strengthen security protection. Move the patient to a safe room away from windows to avoid accidents. Remove unnecessary equipment and dangerous items in the room, such as thermoses, knives, scissors, and ropes, to avoid injury to others and yourself.

2. For patients with early symptoms of pulmonary encephalopathy, in addition to necessary monitoring, it is necessary to contact the patient's family in a timely manner, explain the condition, ask the family to cooperate with treatment, and ask the family to accompany the patient. At the same time, full-time nursing staff are sent to guard.

3. When the patient shows changes in temper, abnormal mood, or irritability, they should be persuaded and advised, and necessary treatment should be provided. Do not use sedatives to calm the patient, otherwise it will aggravate the patient's condition and cause the patient to fall into a coma.