| 高原慢性肺原性心脏病急性发作期并发急性肾功能衰竭的病因研究 |
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| 引用本文： | 杨生岳,冯恩志,康根良,索玉梅,张志强,马子琪.高原慢性肺原性心脏病急性发作期并发急性肾功能衰竭的病因研究[J].中国危重病急救医学,1995(2). |
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| 作者姓名： | 杨生岳 冯恩志 康根良 索玉梅 张志强 马子琪 |
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| 作者单位： | 西宁市解放军第四医院 |
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| 摘 要： | 研究了高原地区（海拔２２６０～３２００ｍ）３１例慢性肺原性心病病急性发作期并发急性肾功能衰竭的原因。结果：Ｐ＿。Ｏ＿２及ｐＨ值愈低，肾功能损害愈严重；ＰａＣＯ＿２＞８．６７ｋＰａ（＞６５．０３ｍｍＨｇ）及血液粘度增高者，肾功能损害严重，而ＰａＣＯ＿２＜８．６７ｋＰａ（＜６５．０３ｍｍＨｇ）及血液粘度正常者肾功能损害较轻。作者对高原肺原性心脏病并发急性肾功能衰竭的发生机制及防治作了讨论。
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| 关 键 词： | 高原心脏病，肺原性，慢性，肾功能衰竭，急性 |
Acute renal fall ure due to acute attack of high al titudechronic cor pulmonale:Etiologic study |
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| /YANG Shengyue,FENG Enzhi,KANG Genliang Chinesc CriticalCare Medicine,.Acute renal fall ure due to acute attack of high al titudechronic cor pulmonale:Etiologic study[J].Chinese Critical Care Medicine,1995(2). |
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| Authors: | /YANG Shengyue FENG Enzhi KANG Genliang Chinesc CriticalCare Medicine |
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| Abstract: | 31 patients with acute renal failure due to acule at-tack of high altitude( 2 260-3200M
abovc sea level)chronic cor pulmonale were studled.The results showedthat the lower the
PaO_2.and pH values,the more more serious the impairment of renal function, Impairment of the
renal function was morc serious in the patients with PaCO_2>8.67 kPa( 65.03mmHg ) and an
elevated blood viscosity than in the patients with PaCO_2<8.67 kPa and a nor-mal blood
viscosity. The mechanism, prevention andtreatment of acute renal failure due to high altitude
corpulmonale were discussed. |
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| Keywords: | high altitude chronic cor pulmonale renalfunction etiology |
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