You Position: Home > Paper

Clinical analysis of alkalosis in 868 critically ill patients

( views:283, downloads:299 )
Author:
No author available
Journal Title:
CHINESE CRITICAL CARE MEDICINE
Issue:
4
DOI:
10.3760/cma.j.issn.1674-6554.2000.04.001
Key Word:
危重病;碱中毒;血气分析

Abstract: 目的:探讨危重患者碱中毒类型、特点及原因.方法:分析了868例危重患者1 470例次动脉血气、血电解质参数及临床资料.结果:危重患者碱中毒类型依次为呼吸性碱中毒(呼碱,668例次,45.44%),代谢性碱中毒(代碱,362例次,24.63%),呼碱并代碱(270例次,18.37%),呼碱型三重酸碱失衡(102例次,6.94%),呼吸性酸中毒(呼酸)并代碱(68例次,4.63%).其中773例次PaO2<8 kPa(52.59%,1 kPa=7.5 mmHg).引起碱中毒原因多样.结论:危重患者碱中毒是常见的,以呼碱最常见,常同时伴有Ⅰ型呼吸衰竭.通常是既往呼吸功能正常的危重患者的原发疾病引起呼碱伴有低氧血症,而代碱大部分是医源性因素引起的.多脏器功能损害的危重患者可出现呼碱型三重酸碱失衡.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn