慢性肺心病急性失代偿性呼吸衰竭静注蛋白营养疗法近期疗效观察

目的　探讨静注蛋白营养疗法对慢性肺心病合并急性失代偿性呼吸衰竭病人近期疗效。方法　治疗组４０ 例静脉输注复方氨基酸、人血白蛋白、血浆，测定治疗前后蛋白电泳、ＰａＣＯ２ 、ＰａＯ２ ，统计病死率，并与４０ 例常规治疗对照组比较。结果　治疗组治疗后血浆白蛋白升高，球蛋白无明显变化；ＰａＣＯ２ 降低，ＰａＯ２ 升高，病死率下降，与对照组相比有统计学意义。结论　慢性肺心病急性失偿性呼衰经静脉蛋白营养治疗可明显改善ＰａＣＯ２ 和ＰａＯ２ 指标，降低住院病死率。

EFFECT OF NUTRITIONAL THERAPY INTROVENOUSLY SUPPLING PROTEIN ON CHRONIC COR PULMONALE COMPLICATED WITH ACUTE RESPIRATORY FAILURE IN NEAR FUTURE

To determine the effect of nutritional therapy introvenously suppling protein on chronic cor pulmonale complicated with acute respiratory failure (ARF) in near future, 40 patients were given aminoacids, human albumine and sera introvenously besides the roufine therapy, while the patients in control were treated with routine methods only. After two weeks, the PaCO 2 declined ,the PaO 2 increased, the days in hospital of the patients were shortened and the mortality decreased in the treated group significontly compared with the control.