肝硬化合并低氧血症26例临床研究

Clinical study of liver cirrhosis with hypoxemia: a report of 26 cases

目的 对 2 6例肝硬化合并低氧血症患者进行血气分析 ,探讨肝硬化合并低氧血症的发病机理及发生率。方法 用美国生产的IL130 6型血气分析仪 ,测定 2 6例肝硬化患者及 8例正常人动脉血中PaO2 、SaO2 、PaCO2 及pH值。比较两组之间的差异。结果 研究组与对照组比较 ,研究组PaO2 明显下降 ,P <0 .0 1,研究组中低氧血症的发生率达 5 3 .8%。

Objective To study the hypoxemia in 26 patients with cirrhosis of liver with blood gas analyses. Methods PaO 2, SaO 2, PaCO 2 and pH of arterial blood were determined in 26 cases with hepatic cirrhosis and 8 healthy subjects by using the apparatus for blood gas analysis (IL 1306) made in USA. Result Compared the studied group with the control group, PaO 2 fell significantly ( P <0.01). The frequency of hypoxemia in the studied group was 53.8%. Conclusion The incidence of hypoxemia increases in cirrhotic patients when the hepatic reserve function falls.(Shanghai Med J, 2000,23∶481 482)