肝硬化并发硷中毒的探讨

本文对50例肝硬化失代偿期患者进行了动脉血气、酸碱度及电解质测定,结果:呼碱40例,占80％;代碱2例,占4％。40例呼碱中单纯性呼碱21例,占52.5％;呼碱型的二重酸碱失衡11例,占27.5％;三重酸碱失衡8例,占20％。表明肝硬化失代偿期患者多数并发碱中毒。本文并对肝硬化并发碱中毒的机理和防治原则进行了探讨。

A STUDY ON ALKALOSIS IN HEPATOCIRRHOTIC PATIENTS

Blood gas analysis power of hydrogen and serum electrolytes (sodium, potassium, chloride calcium)estimation were determined in 50 cases of decompensated hepatocirrhosis. Respiratory alkalosis was identified in 40 of 50 patients (80％) with decompeasated hepatocirrhosis. In 40 cases of respiratory alkalosis, 21 cases were simple respiratory alkalosis (52.5％); 11 cases respiratory associated with metabolic alkalosis associated with metabolic acidosis (20％). This reuslts showed that most of the decompensated hepatocirrhosis were complicated with alkalosis, especially respiratory alkalosis. Michanism and prevention of the alkalosis in hepatocirrhotic patients were discussed.