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本文通过对25例(29例次)慢性肺心病“三重型”酸碱失衡患者的临床观察发现:①此组患者肺脑发生率及病死率均较高,预后差。②它的发生与缺氧、不适当地使用利尿剂等药物及纠正低血钠症时使用高渗盐水有关。③少部分患者可不经纠正酸碱失衡及电解质紊乱,仅在抗染感等治疗的基础上,自身调节纠正。本文提出纠正慢性肺心病“三重型”酸碱失衡应首先适当纠碱的观点。
In this paper, 25 patients (29 cases) chronic cor pulmonale “triple” acid-base imbalance in patients with clinical observations found that: ① this group of patients with pulmonary and cerebral morbidity and mortality were higher, the prognosis is poor. ② Its occurrence and hypoxia, improper use of diuretics and other drugs and the correction of hyponatremia using hypertonic saline. ③ a small number of patients without correction of acid-base imbalance and electrolyte imbalance, only in the treatment of anti-infection on the basis of their own adjustment to correct. This paper proposes to correct chronic pulmonary heart disease “triple” acid-base imbalance should be the first appropriate alkali base.