Ⅱ型呼吸衰竭合并代谢性碱中毒48例临床分析  

Analysis of 48 Cases of Type Ⅱ Respiratory Failure with Complication of Metabolic Alkalosis

作　　者：陈建永[1] 林杰[1] 

机构地区：[1]广东省潮州市中心医院呼吸内科,521000

出　　处：《实用全科医学》2007年第3期211-212,共2页Applied Journal Of General Practice

摘　　要：目的探讨Ⅱ型呼吸衰竭患者发生代谢性碱中毒的原因。方法对48例慢性阻塞性肺疾病(COPD)出现Ⅱ型呼吸衰竭合并代谢性碱中毒患者进行回顾性分析。结果应用糖皮质激素40例,利尿剂35例,呼吸兴奋剂11例,碱性药物10例,人工机械通气3例。全部病例均在住院治疗过程中发生。结论Ⅱ型呼吸衰竭合并代谢性碱中毒大部分是医源性的,应及时予以纠正,避免病情加重。Objective To discuss the causes of metabolic alkalosis in patients with type Ⅱ respiratory failure. Methods The clinical data of 48 COPD patients with type Ⅱ respiratory failure and metabolic alkalosis were analyzed retrospectively. Results All the cases happened in the courses of hospitalization. Glucocorticosteroid, diuretics, respiratory analeptic and alkali medicament and mechanical ventilation were used in 40,35,11,10 and 3 patients respectively. Conclusions The major cause of metabolic alkalosis in patients with type Ⅱ respiratory failure is hospital-Acquired. The clinical doctors should pay more attentions to reduce the complications. Alkalosis should be corrected as quickly as possible in order to prevent other serious complications.

关 键 词：慢性阻塞性肺疾病 Ⅱ型呼吸衰竭 代谢性碱中毒 

分 类 号：R563.8[医药卫生—呼吸系统]