COPD合并肺栓塞患者凝血指标及动脉血气的测定  

Detection of Coagulation Index and Arterial Blood Gas for Chronic Obstructive Pulmonary Disease Complicated with Pulmonary Embolism

作　　者：裴广胜[1] 鞠风玲[1] 王同生[1] 孙瑜霞[1] 毛毅敏[1] 

机构地区：[1]河南科技大学第一附属医院,河南洛阳471003

出　　处：《河南科技大学学报（医学版）》2012年第1期18-19,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的观察COPD合并肺栓塞患者血浆凝血指标及动脉血气的变化。方法收集2010年3月～2011年11月COPD患者40例,COPD合并肺栓塞患者34例,检测其凝血四项及动脉血气水平。结果 COPD合并肺栓塞患者凝血时间较单纯COPD患者明显缩短,血液PCO2明显较单纯COPD患者低。结论 COPD合并肺栓塞患者血液存在高凝状态及纤溶亢进且较单纯COPD患者更加严重,其血液PCO2较单纯COPD患者明显降低,可作为区分单纯COPD的一项重要指标。Objective To investigate the levels of coagulation index and arterial blood gas in the patients with chronic obstructive pulmonary disease（COPD） complicated with pulmonary embolism（PE）. Methods 40 patients with COPD and 34 COPD patients complicated with PE were collected during March,2010 and November,2011.The levels of coagulation function and arterial blood gas were measured. Results The coagulation time of patients with COPD and PE was significantly shortened compared with the patients with COPD.The levels of carbon dioxide（PCO2） in blood serum was significantly reduced in COPD patients with PE. Conclusion There is hypercoagulability in serum and fibrinolysis system hyperthyroidism in patients with COPD complicated with PE.The levels of serum PCO2 ware significantly reduced compared with single COPD patients and may be an important factor of COPD.

关 键 词：慢性阻塞性肺疾病 肺栓塞 凝血功能 动脉血气 

分 类 号：R563.5[医药卫生—呼吸系统]