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本文报告进入加强呼吸护理单位的记录完整的30个病例,男22例,女8例。第一次呼吸衰竭发作的平均年龄57岁。第一次发作前的临床要点:吸烟20例(66％),平均31年;咳嗽平均近9年;咳痰7年;气急5年;慢性阻塞性肺病、临床诊断慢性支气管炎肺气肿或两者饼存4年。第一次呼吸衰竭发作前1～3个月中,平均动脉血pH 7.40,O_2分压60毫米汞柱,CO_2分压58毫米汞柱,氧饱和度85％,重碳酸盐31毫当量/升。60％的患者心电图和临床证明有肺心病。
This article reports a complete record of 30 cases enrolled in intensive respiratory care units, 22 males and 8 females. The average age of the first episode of respiratory failure is 57 years. Clinical points before the first episode: 20 cases (66%) of smokers with an average of 31 years; an average of nearly 9 years of cough; sputum of 7 years; 5 years of acute asthma; chronic obstructive pulmonary disease, clinical diagnosis of chronic bronchitis emphysema or The two cakes for 4 years. During the first 1-3 months before the onset of the first respiratory failure, the mean arterial blood pH was 7.40, the partial pressure of O_2 was 60 mm Hg, the partial pressure of CO 2 was 58 mm Hg, the oxygen saturation was 85%, and the bicarbonate was 31 meq / Rise. 60% of patients ECG and clinical evidence of pulmonary heart disease.