阻塞性肺气肿所致的血气酸碱失衡类型及原因分析  

Clinical analysis of causes and types of acid-base imbalance in obstructive pulmonary emphysema

作　　者：孙振荣[1] 朱剑骞[1] 丁峰[1] 江铭[1] 周懿忆[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院检验科,上海200020

出　　处：《检验医学》2006年第5期456-458,共3页Laboratory Medicine

摘　　要：目的探讨阻塞性肺气肿所致的血气酸碱失衡类型及原因。方法分析180例阻塞性肺气肿患者的血气酸碱结果,并结合电解质测定进行统计分析。结果阻塞性肺气肿患者发生酸碱失衡的类型主要有呼吸性酸中毒(64.5%)、呼吸性酸中毒合并代谢性酸中毒(11.1%)、呼吸性酸中毒合并代谢性碱中毒(23.3%)、呼吸性酸中毒型代谢性酸中毒合并代谢性碱中毒(1.1%)。结论呼吸性酸中毒是阻塞性肺气肿患者发生酸碱失衡的基本类型,当并存其他疾病或者临床治疗不当时,可在呼吸性酸中毒的基础上发生混合性酸碱失衡。Objective To explore the types and causes of acid-base imbalance in obstructive pulmonary emphysema. Methods The arterial blood gases and electrolytes in 180 patients with obstructive pulmonary emphysema were analyzed. Results The types of acid-base imbalance of patient with obstructive pulmonary emphysema were ranked as following： respiratory acidosis （64.5%）, respiratory acidosis plus metabolic acidosis （11.1% ）, respiratory acidosis plus metabolic alkalosis （23.3%）, respiratory acidosis plus metabolic acidosis and metabolic alkalosis （ 1.1% ）. Conclusions The respiratory acidosis was the main type of acid-base imbalance in patient with obstructive ptdmonary emphysema. Other kinds of acid-base imbalance type were occurred on the base of the respiratory acidosis as other complications or incorrect diagnosis or therapy.

关 键 词：酸碱失衡 血气分析 阻塞性肺气肿 

分 类 号：R331.5[医药卫生—人体生理学]