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2752侧肺心病人的3626例次动脉血气结果表明:①肺心病人急性发作期的酸碱失衡是常见的(90.78%~92.89%),其中呼酸最常见(52.07%~67.79%),其次为呼酸并代碱、呼酸并代酸、呼碱、呼碱并代碱和三重酸碱失衡;②肺心病人临终前均有酸碱失衡存在,其中呼酸、三重酸碱失衡、呼酸并代酸和呼酸并代碱最常见;③肺心病Ⅱ型呼吸衰竭病人红细胞内相对偏碱状态是由于红细胞内HCO_3~-相对增高所致。其可能原因为红细胞外Cl~-降低、HCO_3~-/Cl交换受限。
2752 cases of pulmonary heart disease in patients with 3626 cases of arterial blood gas results showed that: ① patients with pulmonary heart disease during acute exacerbation of acid-base imbalance is common (90.78% ~ 92.89%), of which the most common soreness (52.07% ~ 67.79%), followed by Call for acid and generation of base, call acid and acid, call alkali, call alkali and generation of alkali and triple acid-base imbalance; ② pulmonary heart disease before and after the end of both acid-base imbalance exist, which call acid, triple acid-base imbalance, call Acid and acid and call acid and alkali generation is the most common; ③ pulmonary heart disease type Ⅱ respiratory failure in patients with relatively alkaline erythrocytes state is due to the relative increase in intracellular red blood cells HCO_3 ~. The possible reason is that erythrocyte extracellular Cl ~ - decreased, HCO_3 ~ - / Cl exchange limited.