慢性阻塞性肺病(COPD)常导致Ⅱ型呼吸衰竭,在抢救治疗中水电解质酸碱平衡失调是很棘手的问题。近年来,我们在对Ⅱ型呼衰的治疗中,有40例合并代谢性碱中毒,现介绍如下: 临床资料一、一般资料本组40例中,男28例,女12例,年龄<50岁4例,51～60岁11例,61～70岁21例,>70岁4例。二、代碱类型呼酸合并代碱33例。呼合并代碱1例(因用人工机械通气以后),代酸合并 Chronic obstructive pulmonary disease (COPD) often leads to type II respiratory failure, and the issue of acid-base balance disorders in rescue therapy is problematic. In recent years, we are in the treatment of type Ⅱ respiratory failure, there are 40 cases of metabolic alkalosis, are described below: Clinical data First, the general information The group of 40 patients, 28 males and 12 females, age <50 4 years old, 51 to 60 years in 11 cases, 61 to 70 years in 21 cases,> 70 years in 4 cases. Second, on behalf of the type of alkali alkaloid fentanyl 33 cases. Call for one and on behalf of alkali (due to artificial ventilation after), on behalf of the merger