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我院于1982年10月～1983年5月间采用美国813型血气分析仪对慢性阻塞性肺疾患(简称慢阻肺)急性发作期住院患者67例作血气检测共132例次,现将其中60岁以上伴发酸碱失衡的危重患者52例分析如下: 一、病例选择及检查方法(一)按1977年全国肺心病会议诊断标准,并排除肺结核或肺癌并存者。(二)取血方法:于股动脉处穿刺取血2ml,将针头插于软木塞内与空气隔绝立即检验。二、分析(一)性别及年龄:男38例,占73.08%;女14例,占26.92%。年龄60～88岁,平均年龄71.15岁。(二)病程:最短4年,最长40年。10年以上41例,占77.36%。(三)入院时酸碱失衡类型与治疗后对比(表1)。
Our hospital from October 1982 to May 1983 by the United States 813 blood gas analyzer for chronic obstructive pulmonary disease (COPD) acute episodes inpatients 67 cases of blood gas detection for a total of 132 cases, which will now 52 cases of critically ill patients with acid-base imbalance over the age of 60 are analyzed as follows: I. Case selection and examination methods (a) According to the diagnostic criteria of the National Conference on Cor Pulmonary Disease in 1977 and excluding the co-existence of tuberculosis or lung cancer. (B) take blood method: puncture in the femoral artery blood 2ml, the needle inserted in the cork and isolated from the air immediately tested. Second, analysis (a) gender and age: 38 males, accounting for 73.08%; females 14 cases, accounting for 26.92%. Age 60 to 88 years old, average age 71.15 years old. (B) duration: the shortest 4 years, up to 40 years. More than 10 years in 41 cases, accounting for 77.36%. (C) admission acid-base imbalance type and after treatment comparison (Table 1).