应用阴离子间隙判断慢性肺心病酸碱失衡110例临床分析

应用阴离子间隙对慢性肺心病酸碱失衡进行分析。110例病人中,单纯酸碱失衡64例(占58％),二重酸碱失衡40例(占36％),三重酸碱失衡6例(占6％),代酸、代酸呼酸、代酸代碱及三重酸碱失衡的阴离子间隙值均大于15mmol/L,阴离子间隙对诊断酸碱失衡的类型用治疗有一定的临床价值。

Diagnosis of acid-base disturbance with anion gap in chronic cor pulmonale:clinical analysis of 110 cases

This article reports the results of the acid -- base disturbance diagnosed with anion gap (AG), blood gas, and electrolytes in chronic cor pulmonale. 110 patients (59 men and 51 women), aged 51 to 73, were studied. The results showed that 64 (58 %) of the 110 cases belonged to simple acid -- base disturbance, 40 (36%) and 6 (6%) cases indicated dual and triple acid -- base disturbance respectively and the values of AG in acid -- base disturbance with metabolicacidosis were more than 15 mmol/L. We suggest that the determination of AG, combined with blood gas and electrolytes, may be helpful for the diagnosis and treatment of these conditions, especily for the mixed acid -- base disturbance.