老年肺心病患者呼吸衰竭的血气分析及预后

BLOOD GAS ANALYSIS AND PROGNOSIS OF AGED PATIENTS WITH COR PULMONALE

本文报道40例肺结核合并肺心病的老年患者,在呼吸衰竭时的血气改变及预后,并重点讨论了影响预后的一些因素。急性起病者以缺氧为主,近半数的患者在缺氧的同时还伴有CO_2的潴留。起病的诱因主要为条件致病菌引起的机遇性感染。就诊的早迟,低氧低钾及呼酸代碱与预后有着密切的关系。

In this article we reported 40 cases of aged patients of cor pulmonale complicated with tuberculosis and the analysis of blood gas.the prognosis in respiratory failure. We also discussed the main factors influencing the prognosis,pointed out that hypoxia was prominent in acute cases,half of the cases complicated with hypercapnia. Early treatment.hypochloremia - hypokalemia respiratory acidosis with metabolic alkalosis was closely related to the prognosis.