CAJ | 학술논문

选取44例COPD动脉血气为Ⅱ型呼吸衰竭患者，其中重度缺氧29例，中度缺氧15例。44例均为复合性酸碱失衡，呼吸型三重酸碱失衡10例。临床表现：手指静止性震颤39例，扑翼样震颤24例，呈“齿轮状”抵抗18例，头部颤动6例。对11例病情严重影响正常生活者给予美多巴试验性治疗5~7天治愈。得出：COPD低氧血症，高碳酸血症及酸碱失衡并发锥体外路系损害早期是可逆性的，积极治疗呼吸衰竭、纠正低氧血症，可防止并发锥体外路系统损害。
선취44례COPD동맥혈기위Ⅱ형호흡쇠갈환자，기중중도결양29례，중도결양15례。44례균위복합성산감실형，호흡형삼중산감실형10례。림상표현：수지정지성진전39례，복익양진전24례，정“치륜상”저항18례，두부전동6례。대11례병정엄중영향정상생활자급여미다파시험성치료5~7천치유。득출：COPD저양혈증，고탄산혈증급산감실형병발추체외로계손해조기시가역성적，적겁치료호흡쇠갈、규정저양혈증，가방지병발추체외로계통손해。
44 cases of patients of respiratory failure from COPD withⅡtype arterial blood gas are selected,among whom, 29 cases with severe anoxia and 15 cases with moderate anoxia. All of the 44 cases have compound acid-base unbalance,10 cases with respiratory type triple acid-base unbalance disorders. Clinical symptoms:there are 39 cases with finger static tremor,24 cases with flapping tremor, 18 cases with gear-shaped resistance and 6 cases with head tremor. Madopar experiential treatment for 5-7 days is given to 11 serious patients whose disease has affected their normal life. Conclusion:It is reversible for patients with early COPD hypoxemia,hypercapnia, acid-base unbalance and extrapyramidal system damage. The active treatment of respiratory failure and hypoxemia can prevent extrapy-ramidal system damage.