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多重酸硷紊乱是肺心病的死亡原因之一,了解在高海拔地区肺心病酸硷紊乱的类型及其规律,对降低肺心病的死亡率有重要意义。本文报告103例慢性肺心病酸硷紊乱,其中三重酸硷失衡者10例,以呼酸型TABD占9/10。呼酸和呼酸并代硷者比例较大,各占30%,呼硷类型的醉硷失衡比例小,共2例。在呼酸并代硷中有6例阴离子浓度大于阳离子浓度,认为阴离子大于阳离子是诊断代酸的条件之一。所以,在高海拔地区防治肺心病多重酸硷紊乱应以呼酸和呼酸合并代硷为重点。
Multiple acid-base disorder is one of the causes of death of cor pulmonale. It is important to understand the types and regularities of cor pulmonale in high-altitude areas and reduce the mortality of pulmonary heart disease. This article reports 103 cases of chronic cor pulmonale with alkaloid disorders, including triacalcium imbalance in 10 cases, to call acid type TABD accounted for 9/10. Huo acid and sour acid and alkaloids were a large proportion of each 30%, the alkaloid type drunk alkaline imbalance ratio is small, a total of 2 cases. In Huo acid and generation of alkali in 6 cases, the anion concentration is greater than the concentration of the cation, that the anion is greater than the cation is one of the conditions for the diagnosis of acid. Therefore, in the prevention and treatment of high altitude pulmonary heart disease, multiple acid and alkali disorders should be sour and Huachen combined with alkaline as the focus.