肺心病的呼吸性酸中毒合并代谢性硷中毒是肺心病合并电解质紊乱中较复杂的一种,也并非少见,且死亡率高。一般在治疗好转期才发生,所以不易引起注意,而常常误诊,甚至导致死亡。另外它要在有血气分析的条件下,才能做出确切的诊断。而在基层目前又没有此条件,我们只好根据临床表现,治疗经过及一般的化验检查等进行分析,也能做出判断而不贻误治疗,下面简介两个病例。 Respiratory acidosis with cor pulmonale Complicated with metabolic alkalosis is a more complicated form of cor pulmonale with electrolyte imbalance, and is not uncommon and has high mortality. Generally occurs in the treatment of the transition period, so not easy to attract attention, and often misdiagnosed, and even lead to death. In addition it must be in the blood gas analysis conditions, to make a definitive diagnosis. At the grassroots level, there is currently no such condition. We have to conduct analysis based on clinical manifestations, treatment and general laboratory tests, and make judgments without delaying treatment. Here are two cases.