高原慢性肺原性心脏病急性发作期并发急性肾功能衰竭的病因研究  

Acute renal fall ure due to acute attack of high al titudechronic cor pulmonale:Etiologic study

作　　者：杨生岳[1] 冯恩志[1] 康根良 索玉梅[1] 张志强 马子琪[1] 

机构地区：[1]西宁市解放军第四医院

出　　处：《中国危重病急救医学》1995年第2期86-88,共3页Chinese Critical Care Medicine

摘　　要：研究了高原地区（海拔２２６０～３２００ｍ）３１例慢性肺原性心病病急性发作期并发急性肾功能衰竭的原因。结果：Ｐ＿。Ｏ＿２及ｐＨ值愈低，肾功能损害愈严重；ＰａＣＯ＿２＞８．６７ｋＰａ（＞６５．０３ｍｍＨｇ）及血液粘度增高者，肾功能损害严重，而ＰａＣＯ＿２＜８．６７ｋＰａ（＜６５．０３ｍｍＨｇ）及血液粘度正常者肾功能损害较轻。作者对高原肺原性心脏病并发急性肾功能衰竭的发生机制及防治作了讨论。31 patients with acute renal failure due to acule at-tack of high altitude( 2 260-3200M abovc sea level)chronic cor pulmonale were studled.The results showedthat the lower the PaO_2.and pH values,the more more serious the impairment of renal function, Impairment of the renal function was morc serious in the patients with PaCO_2>8.67 kPa( 65.03mmHg ) and an elevated blood viscosity than in the patients with PaCO_2<8.67 kPa and a nor-mal blood viscosity. The mechanism, prevention andtreatment of acute renal failure due to high altitude corpulmonale were discussed.

关 键 词：高原 慢性 肾功能衰竭 并发症 肺心病 

分 类 号：R541.506[医药卫生—心血管疾病] R692.502[医药卫生—内科学]