摘要
休克合并碱中毒在临床并不少见,尤在休克早期较易发生,如未及时识别和纠正,将给休克的治疗增添困难.若将碱中毒误认为酸中毒,并投以碱性药物.将使病情加重.本文根据11例休克合并碱中毒的血气分析,对休克时发生酸碱失衡的机理、危害性及其处理进行探讨;提出在临床工作中,应注意休克合并碱中毒的诊断与治疗.尤对目前尚未开展血气分析监测的医疗单位更要引起重视.
Shock comlicated by alkalosis has not been uncommon,especially during the early stage of shock. If not recognized and corrected in time,alkalosis would add more difficulties in the management of shock. If misdiagnosed as acidosis and administered with alkalotic medication, the disease would become worse. Based on blood-gas analysis of 11 cases, the pathogenesis, risks and management of acid-base disequilibrium were discussed. We suggest that the diagnosis and treatment of shock complicated by alkalosis be emphasised in clinical practice, espicially in hospital without instrument available to blood-gas analysis for the moment.
出处
《蚌埠医学院学报》
CAS
1993年第3期177-179,共3页
Journal of Bengbu Medical College
