摘要
目的：探讨肝硬化失代偿尤其是腹水出现后血气的异常变化，为指导临床诊治提供依据。方法：对住院确诊的３００例肝硬化患者抽取０．５ ｍ ｌ动脉血，采用丹麦产ＡＢＬ４ 型血气仪测定并进行血气分析。结果：低钾血症６６ 例（２２．０％ ），低氧血症２１５ 例（７１．７％ ），酸碱平衡失调１８８例（６２．７％ ）。血气分析常用指标除ＨＣＯ－３ 外，腹水组和无腹水组对比有明显差异。结论：低钾、低氧血症，特别是碱血症，都是与腹水形成和加重互为因果的因素。动态观测血气分析并及时合理指导治疗，有助于肝硬化及其并发症的治疗，可提高患者生存质量，延长生存期。
Objective: To study the abnormality of blood gas analysis for uncompensated cases with hepatic cirrhosis and ascites. Methods: The blood gas analyzer (model ABL 4) was used to detect 300 patients with uncompensated liver cirrhosis. Results: Hypopotassemia (20%), hypoxia (71.6%) and imbalance of acid base equilibrium (62.7%) were found respectively. There was significant difference of HCO - 3 between patients with ascites and patients without ascites. Conclusion: Blood gas analysis is helpful to guard liver cirrhosis and its complications.
出处
《新疆医科大学学报》
CAS
1999年第2期110-111,共2页
Journal of Xinjiang Medical University
关键词
肝硬化
失代偿
腹水
血气分析
cirrhosis
ascites
blood gas analysis
hypoxia
