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肝心病急性发作期,病情危重,治疗往往着眼于控制感染,纠正酸中毒,解除缺氧和二氧化碳潴留,而对呼吸性酸中毒合并代谢性碱中毒未加应有注意,一些治疗措施若应用不当,亦可诱发或加重本并发症,笔者对此有深刻教训。因此,浅谈一点肺心病急性发作时的呼吸性酸中毒合并代谢性碱中毒的病机,对提高肺心病的疗效,进一步降低死亡率有一定的意义。
Hepatic heart disease acute attack, critically ill, the treatment is often focused on controlling infection, correct acidosis, relieve hypoxia and carbon dioxide retention, and respiratory acidosis with metabolic alkalosis without due attention to some of the treatment if not properly applied , Can also induce or aggravate the complications, I have a profound lesson. Therefore, a brief talk about the pathogenesis of respiratory acidosis and metabolic alkalosis at the time of acute episode of pulmonary heart disease is of certain significance for improving the curative effect of pulmonary heart disease and further reducing the mortality rate.