摘要
为正确诊断重型肝炎患者的酸碱失衡(ABD),作者联合运用ABD预计代偿公式(PCF)、阴离子隙(AG)、潜在HCO_3^-和血Cl^-分析了274例次血气分析和电解质测定参数。结果发现,仅用PCF诊断有单纯ABD142例次,二重ABD132例次;联合诊断时单纯ABD仅78例次,二重ABD100例次,三重ABD94例次,四重ABD仅2例次,使混合ABD增加64例次(48.5％)。提示联合诊断对正确判断混合ABD尤其是三重、四重ABD有重要价值。有混合ABD的重型肝炎患者各种并发症发生率及病死率均明显高于仅有单纯ABD的患者。
In order 10 correctly evaluate acid-base disturbances (ABD) in patients with severe viral hepatitis, 274 measurements of blood gases and electrolytes are analysed by the combination of ABD-PCF, AG, potential bicarbonate and chlorine (Cl~). According to the results of ABD-PCF, 142 times (51.8%) were diagnosed as simple ABD and 132 times (48.2%) as double ABD. When AG, potential bicarbonate and Cl- were used to analyse further, simple ABD was diagnosed 78 times only, double ABD 100 times, triple ABD 94 times, and quartet ABD 2 times only. Increased 64 times (48.5%) of mixed ABD were diagnosed by the combined method. This results suggests that the latter was important for correct evaluation of mixed ABD, especially for triple and quartet ABD. The incidences of complications and mortality were significantly higher in patients with mixed ABD than those with simple ABD.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1992年第5期355-358,共4页
Medical Journal of Chinese People's Liberation Army
关键词
酸碱失衡
病毒性肝炎
诊断
Severe viral hepatitis
Acid-base disturbance
Anion gap
Potential bicarbonate
