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目的:通过对90例呼吸系统重症患者的进行气血分析,为临床治疗提供依据。方法:选取我院90例呼吸系统重症患者作为观察组,选取来我院体检的健康志愿者32名作为对照组,采用GEM Premier 3000血气分析仪和雷度ABL80 FLEX血气分析仪对观察组患者进行动脉血气全自动检查。并与对照组32例相比较,从PH,PaO_2,和HCO_3等主要血气指标的变化进行分析。结果:与对照组患者进行比较,发现观察组各小组患者的氢离子浓度(PH)指数改变呈显著下降,差异有统计学意义(P<0.05);慢性阻塞性肺气肿组、呼吸衰竭组和晚期肺癌组,PaO_2显著降低,差异有统计学意义(P<0.05);慢性阻塞性肺气肿组和呼吸衰竭组,PaCO_2明显升高,差异有统计学意义(P<0.05),HCO_3升高显著,差异有统计学意义(P<0.05),支气管组PaO_2降低,差异有统计学意义(P<0.05);主要表现症状为呼吸性碱中毒或呼吸性三中毒,除支气管哮喘组外,观察组其他小组患者主要以呼吸性酸中毒或呼吸性酸中毒合并碱中毒为主,出晚期肺癌外还出现多种酸碱失衡的临床改变。结论:血气分析可用于评价呼吸功能状况和判断数案件失衡类型,对于呼吸系统重症患者的诊断、治疗及预后提供了重要依据。
Objective: To provide basis for clinical treatment through analyzing blood and blood of 90 severe respiratory patients. Methods: Ninety patients with severe respiratory system in our hospital were selected as the observation group and 32 healthy volunteers from our hospital were selected as the control group. The patients in the observation group were treated with GEM Premier 3000 blood gas analyzer and Rayleigh ABL80 FLEX blood gas analyzer Arterial blood gas automatic check. And compared with the control group of 32 cases, from the PH, PaO_2, HCO_3 and other major blood gas changes were analyzed. Results: Compared with the control group, the change of hydrogen ion (PH) index in each subgroup of patients in the observation group was significantly decreased (P <0.05); the patients with chronic obstructive pulmonary emphysema, respiratory failure group (P <0.05). PaCO_2 in chronic obstructive pulmonary emphysema group and respiratory failure group were significantly higher than that in advanced lung cancer group (P <0.05), and the difference was statistically significant (P <0.05) (P <0.05). The PaO_2 in the bronchial group was significantly lower than that in the bronchial asthma group (P <0.05). The main symptoms were respiratory alkalosis or respiratory poisoning. In addition to the bronchial asthma group, Other groups of patients in the observation group mainly respiratory acidosis or respiratory acidosis associated with alkalosis, in addition to advanced lung cancer also appeared a variety of acid-base imbalance clinical changes. Conclusion: Blood gas analysis can be used to evaluate respiratory function status and determine the number of cases of imbalance in the type of diagnosis, treatment and prognosis of critically ill patients with respiratory disease provides an important basis.