重型病毒性肝炎酸碱失衡的多指标联合诊断

MULTIPLE-PARAMETER DIAGNOSIS OF ACID-BASE DISTURBANCE IN PATIENTS WITH SEVERE VIRAL HEPATITIS

In order 10 correctly evaluate acid-base disturbances (ABD) in patients with severe viral hepatitis, 274 measurements of blood gases and electrolytes are analysed by the combination of ABD-PCF, AG, potential bicarbonate and chlorine (Cl~). According to the results of ABD-PCF, 142 times (51.8%) were diagnosed as simple ABD and 132 times (48.2%) as double ABD. When AG, potential bicarbonate and Cl- were used to analyse further, simple ABD was diagnosed 78 times only, double ABD 100 times, triple ABD 94 times, and quartet ABD 2 times only. Increased 64 times (48.5%) of mixed ABD were diagnosed by the combined method. This results suggests that the latter was important for correct evaluation of mixed ABD, especially for triple and quartet ABD. The incidences of complications and mortality were significantly higher in patients with mixed ABD than those with simple ABD.