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1985年12月至1987年6月肺心病并发呼吸衰竭49例(56次)住院资料,同步监测动脉血气与电解质,结合临床,分析酸碱失衡的类型,进行综合治疗,对降低死亡率起一定作用。对于酸中毒患者血pH<7.20时慎重补碱(5％NaHCO_350ml/次),未发生碱中毒。呼酸并代碱仍占第二位,与应用利尿剂有关,常规补充氯化钾,酌情给盐酸精氨酸或醋氮酰胺,疗效较好。呼酸型三重酸碱失衡在肺心病急性发作期并非少见,经稳妥调整及病因治疗,亦可获较好疗效。
From December 1985 to June 1987, 49 cases (56 episodes) of hospitalized patients with pulmonary heart disease complicated with respiratory failure were enrolled. Simultaneous monitoring of arterial blood gases and electrolytes, combined with clinical and analysis of the types of acid-base imbalance, combined treatment, to reduce mortality effect. For patients with acidosis blood pH <7.20 caution when making alkali (5% NaHCO_350ml / time), no alkalosis. Huo acid and alkali generation is still the second place, and the application of diuretics, routine supplement potassium chloride, as appropriate, to arginine hydrochloride or acetamide, better effect. Trichotungate triple acid-base imbalance in acute episodes of pulmonary heart disease is not uncommon, the safe adjustment and the cause of treatment, can also be a better effect.