重型颅脑外伤患者血气及酸碱平衡变化分析——附75例报告  

CLINICAL ANALYSIS OF CHANGES IN BLOOD GAS AND ACID—BASE BALANCE IN 75 CASES OF SEVERE BRAIN INJURY

作　　者：郭强[1] 李跃华[1] 林友俊[1] 杨天明[1] 陈南明[2] 倪艳萍[3] 

机构地区：[1]南京铁道医学院附属医院神经外科 [2]南京铁道医学院呼吸内科 [3]南京铁道医学院血气室

出　　处：《南京铁道医学院学报》1993年第1期24-26,38,共3页Journal of Nanjing Railway Medical College

摘　　要：对75例重型颅脑外伤血气、同步电解质测定结果及酸碱平衡变化进行分析研究。结果发现,有酸碱紊乱者67例,占89.3%,其中三重酸碱紊乱21例,占28.0;病死率37.3%。提出重型颅脑外伤时,易出现体内酸碱紊乱,并且是患者死亡的原因之一,重点讨论了各种酸碱紊乱的病理机制、诊断方法及治疗原则。Arterial blood gas analysis and determination of synchronous electrolyte and change in acid —base balance were performed in 75 cases of sereve brain injury.Acid—base disturbance was found in 89.3%(67/75),and triple acid—base disorders in 28.0%(21/75)of the cases.The mortality was 37.3%.Severe brain injuries lead to acid—base disorders through various factors, such as changes in respiration,metabolism,and etc,and is one of death causes of the disease. The pathogenesis,diagnosis and treatment of various type of acid-base disturbance are dis- cussed.

关 键 词：血液气体分析 酸碱失衡 颅脑损伤 

分 类 号：R651.150.2[医药卫生—外科学]