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肝性脑病的电解质酸碱平衡失调和低氧血症
引用本文:任锡玲,冯志杰,任朝英.肝性脑病的电解质酸碱平衡失调和低氧血症[J].河北医科大学学报,1990(2).
作者姓名:任锡玲  冯志杰  任朝英
作者单位:河北医学院附属二院内科,河北医学院附属二院内科,河北省医院内科
摘    要:本文32例肝硬化引起的肝性脑病中,大部分有硷血症,全部病例均有呼吸性硷中毒。单纯呼吸性硷中毒19例,其次为呼吸性硷中毒合并代谢性硷中毒和呼吸性硷中毒合并代谢性酸中毒。低氧血症11例。在测定电解质的病例中,低钾血症8例,低钠血症14例。根据结果提出了治疗肝性脑病的有关问题。

关 键 词:肝性脑病  呼吸性硷中毒  代谢性硷中毒  低钾血症  低钠血症  低氧血症

DISTURBANCES OF ELECTROLYTE AND ACID-BASE BALANCE AND HYPOXEMIA IN THE PATIENT WITH HEPATIC ENCEPHALOPATHY
Ren Xiling Fong Zhijie.DISTURBANCES OF ELECTROLYTE AND ACID-BASE BALANCE AND HYPOXEMIA IN THE PATIENT WITH HEPATIC ENCEPHALOPATHY[J].Journal of Hebei Medical University,1990(2).
Authors:Ren Xiling Fong Zhijie
Institution:Ren Xiling Fong Zhijie Department of Internal Medicine,Second Affiliated Hospital Ren Chaoying Department of Internal Medicine,Hebei Province Hospital
Abstract:Among 32 cases of the patients with hepatic encephalopathy caused by liver cirrhosis, most of them had alkalemia. All of them had respiratory alkalosis, simple respiratory alkalosis was the most, respiratory alkalosis complicated metabolic acidosis was the least and respiratory alkalosis combined with metabolic alkalosis was intermediate. 11 cases of the patients were hypoxemia. In all of the patients determined electrolyte there were 8 cases with hypokalemia, 14 cases with hyponatremia. Basing on the results obtained, some suggestions of treatment of hepatic encephalopathy had been emphasized.
Keywords:hepatic encephalopathy  respiratory alkalosis  metabolic alkalosis  hypokalemia  hyponatremia  hypoxemia
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