骨折病人酸碱失衡的探讨  

TYPES OF ACID-BASE DISORDER IN FRACTURE PATIENTS

作　　者：江汉[1] 钱桂生[1] 赵志强[1] 

机构地区：[1]第三军医大学新桥医院全军呼吸内科研究所,重庆400037

出　　处：《中国现代医学杂志》2002年第18期42-43,共2页China Journal of Modern Medicine

摘　　要：目的 :探讨骨折病人酸碱失衡的特点。方法 :同步分析 99例骨折病人 32 9例次动脉血气和电解质测定结果。结果 :骨折病人酸碱的衡类型依次为呼碱合并代碱 (42 .9% ) ,呼碱 (2 0 .4 % ) ,呼碱合并代酸 (11.2 % ) ,呼酸合并代酸 (10 .0 % ) ,代碱 (5 .5 % ) ,呼酸 (3.3% ) ,代酸 (3.0 % )。结论 :骨折病人酸碱失衡类型以碱中毒为主 ,并发ALI或ARDS后出现酸中毒 。Objective:To investigate the types of acid-base disorder of arterial blood gas in fracture patients.Methods:The results of the arterial blood gas and electrolure of 99 fracture patients were carried on synchronous analysis.Results:The types of acid-base disorder of arterial blood gas in fracture patients were ranked as follows,respiratory alkalosis plus metabolic alkalosis(42.9%),respiratory alkalosis (20.4%),respiratory alkalosis plus metabolic acidosis (11.2%),respiratory acidosis plus metabolic (10.0%),metabolic alkalosis (5.5%),respiratory acidosis (3.3%),metabolic acidosis(3.0%).Conclusion:Alkalosis is the main type of acid-base disorder of arterial blood gas in fracture patients,and acidosis plus acute lung injury or acute respiratory distress syndrome displayed unfavourable prognosis.

关 键 词：骨折 酸碱失衡 动脉血气 电解质 碱中毒 

分 类 号：R683[医药卫生—骨科学]