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本文分析1977年2月～1982年12月住本院24例慢性肺原性心脏病(肺心病)并发自发性气胸的66次血气改变,探讨自发性气胸对肺心病患者血气的影响。一、临床资料患者24例,男21例,女3例,年龄45～75岁,平均63岁。共住院31例次。肺心病的诊断符合1977年全国第二次肺心病专业会议修订的诊断标准。气胸的诊断均经X线胸部检查证实。在住院期间抽取动脉血作血气分析。二、结果(一) 动脉血pH:范围7.195～7.548。14例次<7.35,其中2例次<7.2,41例次为7.35～7.45,11例次>7.45。(二) PaCO_2:范围17.6～108mmHg。8例次<35,21例次为35～45,11例次为45.1～55,26例次>55。
This article analyzes from February 1977 to December 1982 in our hospital 24 cases of chronic pulmonary heart disease (pulmonary heart disease) complicated with spontaneous pneumothorax 66 blood gas changes, explore the spontaneous pneumothorax on the blood of patients with cor pulmonale. First, the clinical data of 24 patients, 21 males and 3 females, aged 45 to 75 years, mean 63 years. A total of 31 cases were hospitalized. Diagnosis of pulmonary heart disease in line with the second national pulmonary heart disease conference in 1977 revised the diagnostic criteria. Diagnosis of pneumothorax were confirmed by chest X-ray examination. Arterial blood taken during hospitalization for blood gas analysis. Second, the results (a) arterial pH: range 7.195 ~ 7.548.14 cases <7.35, of which 2 cases <7.2,41 cases were 7.35 ~ 7.45, 11 cases> 7.45. (B) PaCO_2: the range of 17.6 ~ 108mmHg. 8 cases <35, 21 cases 35 to 45, 11 cases 45.1 to 55, 26 cases> 55.