| L-精氨酸对高原肺水肿患者血气的影响 |
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| 引用本文： | 崔建华,张西洲,朱永安,马勇,王伟,张芳,哈振德. L-精氨酸对高原肺水肿患者血气的影响[J]. 高原医学杂志, 2001, 11(3): 30-33 |
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| 作者姓名： | 崔建华 张西洲 朱永安 马勇 王伟 张芳 哈振德 |
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| 作者单位： | 解放军第18医院,844900 |
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| 摘 要： | 目的：探讨左旋精氨酸（L－Arg)对高原肺水肿（HAPE）治疗前后血气的影响；方法：在海拔3700m采用氧气驱动雾化吸入L－Arg治疗HAPE患者9例，在治疗前、治疗后即刻及临床治愈后分别检测动脉血pH值、二氧化碳分压（PCO2）、氧分压（PO2）、肺泡、动脉氧分压差（AaDO2)、血氧饱和度（SaO2)，并与常规治疗作比较；结果：L－Arg组和对照组治疗前较治疗后即刻和临床治愈后pH值、AaDO2增高，PCO2、PO2、SaO2降低（P＜0．01）。治疗后即刻较临床治愈后PO2、SaO2 fu ym ,PCO2、AaDO2降低（P＜0．01），pH值无统计学差异（P＞0．05）；L-Arg组与对照组比较，治疗前和治愈后各指标均无统计学差异（P＞0．05）；治疗即刻pH值、AaDO2增高，PCO2、PO2、SaO2降低（P＜0．01或P＜0．05）；结论：L－Arg可明显改善HAPE患者血气指标，对HAPE治疗效果显著，且简便易于推广应用。
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| 关 键 词： | 高原肺水肿 L－Arg 血气分析 |
EFFECT OF ON L- Arg T HE CIGOUR OF HIGH ALTITUDE PULMONARY EDEMA |
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| Cui Jianhua,et al. EFFECT OF ON L- Arg T HE CIGOUR OF HIGH ALTITUDE PULMONARY EDEMA[J]. Journal of High Altitude Medicine, 2001, 11(3): 30-33 |
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| Authors: | Cui Jianhua et al |
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| Affiliation: | Cui Jianhua,et al The 18th Hospital of PLA,Yechen Xinjiang |
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| Abstract: | Objective:To explore effect of on vigour of high altitudes pulmonary edema(HAPE) before and ofter treatment.Methods:To inhale L-Arg on nebuliation 9 HAPE at 3 700m.Measured the level of pH,PCO 2?.PO 2?AaDO 2 and SaO 2 before and affer treatment.Results:The level of pH and AaO 2 before treatment were increased,The level of PCO 2?PO 2?SaO 2 were lower (P<0.01);The level of PO 2?SaO 2 after treatment were increased, PCO 2?AaDO 2 were lower (P<0.01),The level of pH has not a significant difference(P<0.01);Conclusion:The L-Arg had improved the vigour of HAPE. |
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| Keywords: | High altitude pulmonary edema L-Arg Vigour |
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