慢性肺源性心脏病；_三重酸碱失衡；_血气；_电解质_

慢性肺源性心脏病急性加重期三重酸碱失衡28例临床分析

http://www.100md.com 《新疆医科大学学报》 2006年第8期

慢性肺源性心脏病；,三重酸碱失衡；,血气；,电解质,,慢性肺源性心脏病；,三重酸碱失衡；,血气；,电解质,1资料与方法,2结果,3讨论,参考

     摘要：目的: 探讨慢性肺源性心脏病(肺心病)急性加重期三重酸碱失衡血气和电解质变化，分析原因并制定防治措施。方法： 250例慢性肺心病患者合并三重酸碱失衡者28例，对28例患者的血气和电解质指标，包括pH值、动脉血二氧化碳分压(PaCO2)、碳酸氢根离子(HCO3-)、钠离子(Na+)、氯离子(Cl-)浓度进行测定,并与32例血气分析结果正常者进行比较，观察各项指标变化情况。结果： 28例三重酸碱失衡患者中，20例为呼酸型三重酸碱失衡，与血气正常者相比，pH、Cl-浓度降低，PaCO2、HCO3-浓度升高。8例呼碱型三重酸碱失衡，与血气正常者相比，PaCO2及HCO3-、Cl-浓度降低，pH升高。结论：慢性肺心病急性加重期者常发生三重酸碱失衡，以呼酸型三重酸碱失衡为主。三重酸碱失衡的纠正是临床治疗成功与否的关键性因素之一。

    关键词: 慢性肺源性心脏病；三重酸碱失衡；血气；电解质

    An analysis on the triple acidbase imbalance in chronic cor pulmonale

    during acute attackLI Jing, Saltatan Nahyat

    (Second Affiliated Hospital, Xinjiang Medical University, Urumqi 830028, China)Abstract：Objective: To analyze the bloodgas and electrolyte changes of triple acidbase imbalance in chronic cor pulmonale during acute attack, and discuss the causes and prevention. Methods: Bloodgas and assays were analyzed in 250 patients with chronic cor pulmonale during acute attack; the results of 28 patients with triple acidbase imbalances were compared with 32 patients with normal bloodgas. Results: Twenty of 28 patients with triple acidbase imbalances were repiratory acidosis type, with lower pH, Cl- and higher PaCO2 and HCO3-; 8 patients were respiratory alkalosis type, with lower PaCO2, HCO3- and Cl- compare to normal group, respectively. Conclusions: The morbidity of the triple acidbase imbalance in chronic cor pulmonale during acute attack is high, mostly with respiratory acidosis type; to discover and treat the triple acidbase imbalance in chronic cor pulmonale during acute attack is one of the critical element leading to a successful treatment. ......

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