肺性脑病与动脉血气关系临床分析

Clinical analysis of the relationship between arterial blood gas analysis and pulmonary encephalopathy

目的探讨慢性肺心病患者发生肺性脑病与动脉血气PaCO2、PaO2、pH值的关系。方法对我院2009年以来住院的慢性肺心病患者150例,其中32例肺性脑病患者进行动脉血气分析。结果慢性肺心病患者发生肺性脑病与动脉血气PaCO2升高、pH值下降的程度相关,缺氧不是肺性脑病的主要原因。结论对慢性肺心病患者动脉血气监测有利于早期发现肺性脑病和及时治疗。

Objective To discuss the relation between the arterial blood gas analysis：PaCO2,PaO2,pH and pulmonary encephalopathy with chronic pulmonary heart disease.Methods analyzed arterial blood gases of 150 hospital patients with chronic pulmonary heart disease from 2009,including 32 pulmonary encephalopathy patients.Result There is a close relationship between arterial blood gases and chronic pulmonary heart disease;patients with chronic pulmonary heart disease have of higher levels of PaCO2,and lower pH and pulmonary encephalopathy,hypoxia is not the correlated to of pulmonary encephalopathy.Conclusion It is beneficial for early diagnosis and treatment pulmonary encephalopathy to check the arterial blood gas analysis of patients with chronic pulmonary heart disease.