肺心病阴离子隙与混合型酸硷失衡的临床分析

A Clinical Analysis of Anion Gap and Mixed Acid-Base Disorder in Lung-Heart Disease

本文分析23例有酸硷失衡肺心病患者的阴离了隙(Anion Gap.AG)。其中“二重型”酸硷失衡12例,“三重型”酸硷失衡5例,仅有一种酸硷失衡的6例。全部病例都计算AG值,除呼酸或呼硷以及例“二重型”酸硷失衡(呼酸+代硷)的AG值正常外,其余的AG值均明显高于正常。AG值升高可诊断患者有代谢性酸中毒存住,这对肺心病并混合型酸硷失衡的治疗具有一定的临床价值。

Anion Gap (AG) of 23 cases with acid-base disorder in Lung-heart disease are ana- lysed in this paper. Among them, 12 cases are those with two types acid-base disorder, 5 cases are those with three types acid-base disorder and 6 cases have only one type acid-base disorder. AG of all the cases are calculated. Except that respiratory acidosis or alkalosis and one case with two types acid-base disorder (respiratory acidosis and metabolic alkalosis have normal AG, the other AGs are much higher than normal. Higher AG indicates that pa- tients have metabolic acidosis, which is of some clinical value in treating lung-heart disease with mixed acid-base disorder.