摘要
[目的]研究肺心病呼吸衰竭患者的血气指标变化对预后的影响。[方法]分析患者血气分析指标的变化与预后的关系。[结果](1)血气分析指标中的PH值越低,死亡率越高;(2)血气分析指标中的二氧化碳分压越高,死亡率也相应升高;(3)血气分析指标中的氧分压高低对预后无明显影响;(4)酸中毒总死亡率大于碱中毒,三重酸碱平衡紊乱者死亡率最高。[结论](1)PH值对预后有绝对影响,两者呈互相关系;(2)二氧化碳对预后同样有影响,两者呈正相关系;(3)同一患者出现二种或以上酸碱平衡紊乱时,预后差,死亡率高。
[Objective]To study the influence of the blood-gas analysis index change on the prognosis of patients with pulmonary heart disease complicated respiratory failure.[Methods]The relationship between the change of BGAI and prognosis of patients with PHD compucated respiratory failure was analyzed.[Results](1)The lower PH in BGAI,the higher death rate;(2)The higher partial pressure of carbon dioxide(Pco2)in BGAI,the higher death rate;(3)partial pressure of oxgen(Pco2)had no apparent influence to the prognosis;(4)The death rate of acid-poisoning was higher than that in alkalipoisoning,the death rate of three acid-base disturbances was the highest.[Conclusion](1)PH influences prognosis of patients with PHD absolutely and there is negative correlation between them;(2)pco2 influences prognosis also,there is positive correlation between them;(3)The prognosis of PHD patients is bad and the death rate is higher when patients have two or more acid-base disturbance.
出处
《浙江中医药大学学报》
CAS
2010年第5期702-703,共2页
Journal of Zhejiang Chinese Medical University
关键词
肺心病
呼吸衰竭
血气分析
预后
pulmonary heart disease
respiratory failure
blood-gas analysis
prognosis
