AN EVALUATION OF THE ACID-BASE DISORDERS AND DIAGNOSTIC CRITERION OF RESPIRATORY FAILURE IN CHRONIC COR PULMONALE IN XINING
- VernacularTitle:西宁地区肺原性心脏病酸碱失衡判断和呼吸衰竭血气诊断标准的探讨
- Author:
Shengyue YANG
;
Ziqi MA
- Publication Type:Journal Article
- Keywords:
High altitude Cor pulmonale Acid-base disorders Respiratory failure
- From:
Medical Journal of Chinese People's Liberation Army
1982;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The blood gases and acid-base disorders were analysed in 276 cases with chronic cor pulmonale at 2260m above sea level (Xining). The results demonstrated that: (1) the incidence of acid-base disorders, respiratory acidosis and the ratio of compensatory to decompensatory respiratory acidosis were low, the rate of respiratory alkolosis was high, if they were evaluated according to the formula used on plains. If normal values determined in Xining were used, the various incidences were about the same as observed on plains. (2) In diagnosing respiratory failure with blood gas analysis if the criteria commonly employed on plains was applied, the incidence of type J respiratory failure was higher, and that of type I was lower. If PaO25.33kPa were used as the criteria for respiratory failue, the incidence of type I respiratory failure became lower with type Ⅱ higher. The characteristics of acid-base disorders and diagnostic criteria of respiratory failure in patients with cor pulmonale were discussed.
