肝硬化患者43例血气分析变化

目的 探讨肝硬化患者血气分析变化的临床意义.方法 回顾性分析43例肝硬化患者血气分析资料.结果 ①肝硬化酸碱失衡的发生率为74.4%,以单纯性呼吸性碱中毒最多见,发生率为23.3%;②C级患者中多重酸碱失衡发生率为57.2%,与A级患者比较,差异有统计学意义(P<0.05);③肝硬化患者低氧血症总发生率为55.8%,与...

Blood gas analysis in 43 cases of patients with hepatic cirrhosis

Objective To investigate the changes of blood gas analysis in patients with hepatic cirrhosis.Methods The blood gas analysis in 43 patients with hepatic cirrhosis were analyzed.Results ①The incidence of acid base disturbance in patients with hepatic cirrhosis was 74.4%,respiratory alkalosis was the most common type,the incidence was 23.3%;②The incidence of compound acid base disturbance in patients of Child-Pugh C was 57.2%.There was significant difference when compared with those of Child-Pugh A（P0.05）;③The incidence of hypoxemia in patients with hepatic cirrhosis was 55.8%.Compared to Child-Pugh A and B,the incidence of hypoxemia in Child-Pugh C was apparently higher（P0.05）.Conclusion ①Among acid base disturbance cases,the incidence of simple respiratory alkalosis is the highest in patients with hepatic cirrhosis.Compound acid base disturbance often occurs in advanced Child-Pugh C patients;②The incidence of hypoxemia was high in patients with hepatic cirrhosis.The incidence of hypoxemia was increased along with Child-Pugh classification increasing.Dynamically monitoring the changes of arterial blood was helpful for the therapy,prognosis of the patients.