昆明地区慢性肺心病酸碱紊乱特征分析  

Characteristics of Acid-basic Disturbances and Their Implication in the Diagnosis in Patients with Chronic Cor Pulmonale in Kunming

作　　者：杨昆豫[1] 朱坤[1] 温慕东[1] 梁晓[1] 

机构地区：[1]云南省第一人民医院呼吸科,650032

出　　处：《中国误诊学杂志》2004年第1期42-43,共2页Chinese Journal of Misdiagnostics

摘　　要：目的 :探讨昆明地区慢性肺心病酸碱紊乱特点。方法 :对 4 5 0例次慢性肺心病按海平面标准和昆明地区正常血气参考值所提出的诊断依据进行对比分析。结果 :本地区慢性肺心病酸碱紊乱类型以单纯呼吸性酸中毒 ,呼吸性酸中毒并代谢性碱中毒 ,呼吸性酸中毒并代谢性酸中毒为主。结论 :建立不同海拔高度地区酸碱紊乱判断标准有助于对疾病的正确判断。Objective:To study the characteristics of acid-basic disturbances and their implication in patients with chronic pulmonary heart disease in Kunming region.Methods:The gas blood analysis results of 450 patients with chronic Cor pulmonale were compared with two different standards,ie.Sea-level standard and Kunming′s normal standards. Results:In Kunming region common types of acid-basic disturbances in Cor pulmonale were respiratory acidosis, respiratory acidosis with metabolic alkalosis,and respiratory and metabolic acidosis.Conclusion:Different standards for diagnosis of acid-basic disturbances based on different altitude would be valuable.

关 键 词：酸碱紊乱 慢性肺心病 呼吸性酸中毒 昆明地区 正常 诊断依据 血气 结论 特点 类型 

分 类 号：R541.5[医药卫生—心血管疾病] R722.12[医药卫生—内科学]