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在37例慢性肺原性心脏病,包括急性期17例,缓解期20例的病人中对其血液流变学和血气的相关性进行研究。急性期病人的ηa(230.4/s)和ηa(5.76/s)、TK值、红细胞聚集指数和PaCO_2均明显高于缓解期病人组。急性期组中氧释放系数和pO_2低于缓解期组病人。ηa(230.4/s)与OD和pH呈密切负相关(r=-0.58,-0.40,P<0.01);ηa(5.76/s)与RA1呈密切正相关(r=0.828,P<0.001),上述规律见于急性期组。这些发现提示抗凝和血液稀释疗法对肺心病急性期是有用的治疗措措。
The correlation between hemorheology and blood gas was studied in 37 cases of chronic pulmonary heart disease, including 17 cases of acute phase and 20 cases of remission. Ηa (230.4 / s), ηa (5.76 / s), TK, erythrocyte aggregation index and PaCO_2 in patients with acute phase were significantly higher than those in patients with remission. In the acute phase group, the oxygen release coefficient and pO_2 were lower than those in the remission group. There was a close negative correlation between ηa (230.4 / s) and OD and pH (r = -0.58, -0.40, P <0.01) The above rules found in the acute phase group. These findings suggest that anticoagulation and hemodilution may be useful therapeutic options for the acute phase of pulmonary heart disease.