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回顾性分析我院同一天测血气和钾、钠、氯离子的肺心病902例,其中发生三重酸碱失衡(TABD)者14例,占1.55%。在14例三重酸碱失衡者中导致多器官衰竭(MOF)者12例。经分析表明,肺心病TAB容易发生MOF,发生率为85.7%(呼酸型75.0%,呼碱型100%)。本组肺心病TABD的病死率为35.8%(呼酸型37.3%,呼碱型40%)。本文还就肺心病TABD与MOF之间的关系,诊断标准及防治等问题进行了讨论。
A retrospective analysis of our hospital the same day measured blood gas and potassium, sodium and chloride ions of pulmonary heart disease in 902 cases, of which triple acid-base imbalance (TABD) in 14 cases, accounting for 1.55%. In 14 cases of triple acid-base imbalance in multiple organ failure (MOF) in 12 cases. The analysis showed that pulmonary heart disease TAB prone to MOF, the incidence was 85.7% (sour acid type 75.0%, 100% alkaloids). This group of patients with pulmonary heart disease TABD mortality was 35.8% (citrate acid type 37.3%, call-type 40%). This article also discussed the relationship between pulmonary heart disease TABD and MOF, diagnostic criteria and control and other issues were discussed.