肺心病慢性呼吸性酸中毒合并代谢性酸碱失衡判定方法的探讨

Evaluation of Methods for Determining Respiratory Acidosis and Metabolic Acid-base Disorders in Chronic Cor Pulmonale

对143例次血气和电解质的测定值用代偿公式、酸碱图、阴离子隙和潜在碳酸氢判定出初步的酸碱失衡类型,又结合病史和临床资料作出综合判定。分析了本组病人酸碱失衡的发生率和类型,着重比较了使用不同方法判定酸碱失衡类型的差异,并讨论了阴离子隙和潜在碳酸氢对肺心病病人复合性酸碱失衡及三重性酸碱失衡的诊断意义。

A preliminary types of acid-base disorders were determined by compensative for-mulae,acid-base diagram,anion gap and potential bicarbonate in 143 blood gas andelectrolytes values.Combining history and clinical data a synthetical diagnosis hadbeen made.The incidence and type of acid-base disorders in these patients were an-alysed.The differences of using different methods to determine types of acid-basedisorders were carefully compared in these patients.The diagnostic value of deter-mining complex acid-base disorders and triple acid-base disorders of pulmonary heartdisease according to anion gap and potential bicarbonate were discussed.