老年人呼吸衰竭(呼衰)并发酸碱平衡失调,在临床上较为常见,其病死率较高,为了提高诊断水平,我们对121例呼衰的病人进行了血气值测定,现将其中90例老年人呼衰的血气检查结果结合老年人的病理生理特点分析如下。 1 临床资料:90例均为勃利县医院内科1987—01～1989—04住院病人,男49例,女41例,年龄60～84岁,平均65岁。其中慢阻肺并发呼衰65例,占72.24％;感染性休克并呼衰5例,占5.56％;脑血病、急性药物中毒、恶性肿瘤并呼衰20例占22.22％。 2 方法:90例均采用丹麦哥本哈根无线电子公司,ABL—30微量血气和酸碱平衡 Elderly respiratory failure (respiratory failure) and acid-base balance disorders, is more common in clinical practice, its mortality is higher, in order to improve the diagnostic level, we measured 121 cases of respiratory failure in patients with blood gas values, now 90 cases Elderly respiratory failure of blood gas examination results combined with the elderly pathophysiological characteristics are as follows. 1 clinical data: 90 cases were Boli County Hospital 1987-01 ~ 1989-04 hospitalized patients, 49 males and 41 females, aged 60 to 84 years, mean 65 years. Among them, 65 cases were COPD with respiratory failure, accounting for 72.24%; 5 cases were septic shock with respiratory failure, accounting for 5.56%; 20 cases were cerebral apoplexy, acute drug poisoning, malignant tumor with respiratory failure, accounting for 22.22%. 2 Methods: 90 cases were used Copenhagen, Denmark, radio subsidiary, ABL-30 trace blood gas and acid-base balance