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特点。方法:分析715 例肺心病急性加重期患者住院期间的2,120例次动脉血气、同步血清电解质及相关临床资料,根据酸碱失衡量化公式,判断三重酸碱失衡类型。结果:715例肺心病患者住院期间发生酸碱失衡632 例(88.39%)。其中单纯型酸碱失衡365 例(57.75%);二重酸碱失衡209 例(33.07%);三重酸碱失衡(TABD)58例(9.18%),病死36例,病死率为62.06%。结论:及早正确地识别肺心病急性加重期患者血气特点,特别是三重酸碱失衡,可提高肺心病患者的救治率。
Objective: To study the characteristics of blood triple acid-base disorders in the patients of acute stage with chronic pulmonary heart disease. Methods: The arterial blood gas,electrolytes, anion gap (AG)and latent HCO-_3 of 2120 cases were analyzed in 715 patients of acute stage with chronic pulmonary heart disease. The type of acid-base disorders was determined by quantitative formula. Results: Acid-base disorders were discovered in 632 patients (88.39 %). Pure and double acid-base disorders occupied 57.75% and 33.07% respectively. 58 cases (9.18%) had the triple acid-base disorders, 36 cases died. Conclusion:To distinguish the characteristics of blood acid-base disorders early and correctly may raise cure rate in the patients of acute stage with chronic pulmonary heart disease, especially for triple acid-base disorders.
出处
《中国临床医学》
北大核心
2005年第2期201-202,共2页
Chinese Journal of Clinical Medicine
