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酸硷平衡紊乱与肺性脑病,是造成肺心病人死亡的重要原因,我院112例肺心病死亡原因治疗中,因酸硷平衡失调死亡者占25%。在酸硷平衡紊乱中,以酸中毒最多见,但在分析过程中,患者可由酸中毒转变为硷中毒,其发生率据国外报告为10—25%,哈医大报告为20%,我院资料统计达25%。因此,正确判断酸硷平衡紊乱的类型,及时和正确的处理,对降低肺心病死亡率至关重要。我院自1973年后,曾试用醋氮酰胺(Diamox)治疗肺心病硷中毒4例收到较好的效果,在此基础上,以后继续治疗了9例,现将13例的疗效观察报告如下:
Acid-base balance disorders and pulmonary encephalopathy, pulmonary heart disease is caused by an important cause of death in our hospital 112 cases of pulmonary heart disease treatment of death, due to acid-base balance disorders accounted for 25%. In the acid-base balance disorders, the most common acidosis, but in the analysis process, patients can be changed from acidosis to alkalosis, the incidence of foreign reports according to 10-25%, Harbin Medical University reported 20%, our hospital data Statistics up to 25%. Therefore, the right to determine the type of acid-base balance disorders, timely and correct treatment, to reduce pulmonary heart disease mortality is essential. Our hospital since 1973, had tried diamox treatment of pulmonary heart disease in patients with alkalosis in 4 cases received good results, on this basis, the continued treatment of 9 cases, the efficacy of 13 cases are now reported as follows :