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目的不同病因的ARDS酸碱失衡与电解质紊乱的类型与特点。方法对159例ARDS患者进行动脉血气及血清电解质的监测。并按病情轻重程度将病人分为轻度组和中、重度组。结果轻度的ARDS以呼碱,呼碱并代碱和代酸最常见,其中轻度组的99例ARDS中单纯呼碱的为85例(85.9﹪),其发生率有显著性差异(P<0.05)中、重度ARDS均有复杂的酸碱失衡的类型存在,其中以呼碱型三重酸碱失衡、呼酸并代酸、呼碱并代酸最多见。并随病情加重,三重型酸碱失衡的发生率明显增高,并且死亡率也随之而增高。结论中、重度(ARDS)如出现呼碱型三重酸碱失衡、呼酸并代酸等。提示病情险恶,预后极差,应及时处理。因此,及时正确识别是实施正确治疗并提高治愈率的关键。
Objective ARDS acid-base imbalance and electrolyte imbalance types and characteristics of different etiology. Methods 159 ARDS patients were monitored for arterial blood gases and serum electrolytes. Patients were divided into mild group and moderate-severe group according to severity of illness. Results The mild ARDS was the most common in the two groups, including alkalosis, alkalosis and alkalosis and acid replacement. 85 (85.9%) of 89 ARDS patients in mild group had a significant difference (P <0.05). Both ARDS and ARDS had complicated types of acid-base imbalance. Among them, HO-type triple acid-base imbalance, acidosis and acidosis were the most common types of ARDS. And with the aggravating condition, the incidence of triple-type acid-base imbalance was significantly increased, and the mortality rate also increased. Conclusions Moderate and severe (ARDS), such as the emergence of triple-base alkaloid acid-base imbalance, acid and acid and so on. Prompted the patient’s condition, the prognosis is very poor, should be promptly addressed. Therefore, timely and correct identification is the key to implementing the correct treatment and improving the cure rate.