摘要
目的探讨酸碱平衡紊乱急诊危重患者的类型。方法分析115例酸碱平衡紊乱急诊危重患者的不同类型,并根据治疗情况将其分为死亡组35例及生存组80例,对比两组血气分析测定的结果。结果①115例酸碱平衡紊乱危重者中,仅存有一种酸碱平衡紊乱者78例(67.83%),两重紊乱者36例(31.30%),三重紊乱者1例(0.87%)。115例酸碱平衡紊乱患者中,发生最多的为中代谢性酸中毒28例(24.35%),其次为呼吸性碱中毒者24例(20.87%)。②死亡组最后一次血气分析值与生存组相比具有明显差异(P<0.05)。结论针对急诊危重症者进行处理与诊断时,应详细了解患者的病史,做好血气分析检测,积极纠正酸碱平衡紊乱情况,以此保障患者的急救成功率及预后质量。
Objective To investigate the types of acid-base disturbance in patients with emergent critical diseases. Methods The types of acid-base disturbance in 115 patients with emergent critical diseases were analyzed. All cases were divided into death group（n = 35）and surviving group（n = 80）, and the results of blood gas analysis were compared between two groups. Results ①Among 115 cases, there were 78 cases（67.83%） of single acid-base disturbance, 36 cases（31.30%） of double acid-base disturbance and one case（0.87%） of triple acid-base disturbance; Metabolic acidosis was the most frequent and occurred in 28 patients（24.35%）, followed by respiratory alkalosis,which occurred in 24 patients（20.87%）. ②There was statistical difference in the blood gas values at last time between the two groups（P 0.05）.Conclusions For the treatment and diagnosis of patients with emergent critical diseases, we should understand patients＇ medical history in detail, conduct blood gas analysis and correct acid-base disturbance actively, so as to ensure success rate of first aid and prognosis.
出处
《临床医学工程》
2014年第5期601-602,共2页
Clinical Medicine & Engineering
关键词
酸碱平衡紊乱
急诊
危重患者
Acid-base disturbance
Emergency
Critical patients
