摘要
目的：探讨呼吸衰竭血气改变与预后的关系。方法：同步测电解质和动脉血气，将血气结果中ＰＨ、ＰａＣＯ２、ＰａＯ２各分两组，对其死亡率进行比较，所得数据采用Ｘ２检验进行统计学处理，并分析酸碱失衡类型发生率及与死亡的关系。结果：ＰＨ＜７．２５组死亡率明显高于ＰＨ＞７．２５组，两组相比有显著统计学意义（Ｐ＜０．０１），两者呈显著负相关，ＰＨ值愈低，死亡率愈高；ＰａＣＯ２≥９．３３ｋＰａ组死亡率明显高于ＰａＣＯ２＜９．３３ｋＰａ组，两组相比有显著统计学意义（Ｐ＜０．０１），两者呈显著正相关，ＰａＣＯ２高者死亡率高；ＰａＯ２≤７．３３ｋＰａ组与ＰａＯ２＞７．３３ｋＰａ组死亡率比较无明显相关性，未显示统计学差异（Ｐ＞０．０５）。９０例中呼吸性酸中毒、呼吸性酸中毒合并代谢性碱中毒、呼吸性酸中毒合并代谢性酸中毒发生率及死亡率高，三重型酸碱失衡死亡率高。结论：血液ＰＨ值下降和ＰａＣＯ２升高对肺心病呼吸衰竭预后有十分重要作用，应重视肺心病呼吸衰竭血气酸碱失衡的防治。
Objectivcs:Discuss the rclationship between prognosis and the change of blood gas analysis in patients with respiratory failure.Methods:Simultaneously measuring eleclrolyle and blood gas analysis,according to PH,PaCO 2,PaO 2 in results of blood gas analysis two groups are divided,comparing mortality rate of every group.Qualitative data in every group is examined by x 2 test and analyze the relationship between mortality and type of acid-base disturbance. Results:Mortality rate in PH≤7.25 group is more than than in PH>7.25 group.It is remarkable statistic significance between both groups.( P <0.01).They are negative correlation.Data of PH is lower while mortality rate is higher.Mortality rate in PaCO 2 ≥9.33 kPa group is more than that in PaCO 2<9.33 kPa group.It is remarkable statistic significance between both groups ( P <0.01).They are positive correlation.Data of PaCO 2 is higher while mortality rate is higher.Mortality rate between PaO 2≤7.33kPa group and PaO 2>7.33 kPa group is not correlation.It is not statistic significance ( P >0.05)。Incidence rate and mortality rate of respiratory acidosis,respiratory acidosis complicated metabolic alkalosis,respiratory and metabolic acidosis are high in 90 patients.Mortality rate of triacid-base disturbance is high.Conclusions:Decrease of blood PH and increase of PaCO 2 are very important to prognosis in patients with Cor pulmonale and respiratory failure.We should pay attention to the prevention and cure acid-base distrubance in patients with Cor pulmonale and respiratory failure.
出处
《山西临床医药》
1999年第2期78-79,共2页
Shanxi Clinical Medicine
关键词
呼吸衰竭
血气分析
预后
Respiratory failure
Blood gas analysis
Prognosis
