慢性肺心病急性发作期三重酸碱紊乱的临床分析  

CLINICAL ANALYSIS OF TRIPLE ACID-BASE DISTURBANCE IN PATIENTS OF ACUTE STAGE WITH CHRONIC PULMONARY HEART DISEASES

作　　者：王宇[1] 沈丽[1] 刘小燕[1] 

机构地区：[1]重庆市肺科医院,重庆400020

出　　处：《现代预防医学》2007年第20期3970-3971,3973,共3页Modern Preventive Medicine

摘　　要：[目的]探讨慢性肺心病急性发作期三重酸碱紊乱特点。[方法]分析231例慢性肺心病急性发作期患者住院期间的首次动脉血气、同步电解质检测结果和相关临床资料,计算阴离子间隙(AG)和潜在HCO3-,根据酸碱失衡量化公式,判断酸碱失衡类型。[结果]231例慢性肺心病急性发作期并呼吸衰竭患者,发生酸碱失衡202例(87.45%)。其中单纯酸碱失衡136例(58.87%);二重酸碱失衡76例(32.90%);三重酸碱失衡(TABD)19例(8.23%),都为老年人,都合并多脏器功能衰竭(MOF)。[结论]提高对慢性肺心病急性发作期患者三重酸碱失衡认识,正确判断,针对三重酸碱紊乱的原因,及时防范,降低死亡率。[Objective] To study the characteristics of blood triple acid-base disorders in the patients of acute stage with chronic pulmonary heart diseases. [Methods] The arterial blood gas, electrolytes, anion gap （AG） and latent HCO3^- were analyzed in 231 patients of acute stage with chronic pulmonary heart diseases. The type of acid-base disorders was determined by quantitative formula. [ Results] Acid-base disorders were discovered in 202 patients （87.45%）. Single and double acidbase disorders accouted for 58.87% and 32.90% respectively. 19 cases （8.23%） had the triple acid-base disorders, who were all aged people and all detected to have multiple organ dysfunction. [Conclusions] We should enhance the recognition of blood triple acid-base disorders in the patients of acute stage with chronic pulmonary heart diseases, have a correct judgement of the disease and prevent it timely on the base of the cause of triple acid-base disorders, so as to decrease the mortality.

关 键 词：肺心病 三重酸碱失衡 

分 类 号：R541.5[医药卫生—心血管疾病]