CAJ | 학술논문

目的：探讨恶性腹水患者血气分析指标的临床意义。方法：采用全自动血气分析仪检测恶性腹水组和健康对照组血气参数，静脉血测定血钠(Na+)、血氯(Cl-)浓度。结果：恶性腹水组pH值、PCO2、PO2和HCO3-与对照组比较，差异均有统计学意义。恶性腹水组低氧血症的发生率69.0%，酸碱失衡的发生率66.7%，酸碱失衡以单纯性呼吸性碱中毒为主，发生率44.89%。结论：恶性腹水患者易发生酸碱失衡及低氧血症，酸碱失衡以呼吸性碱中毒为主，应及时进行血气分析，及时对症治疗，提高患者生活质量。
목적：탐토악성복수환자혈기분석지표적림상의의。방법：채용전자동혈기분석의검측악성복수조화건강대조조혈기삼수，정맥혈측정혈납(Na+)、혈록(Cl-)농도。결과：악성복수조pH치、PCO2、PO2화HCO3-여대조조비교，차이균유통계학의의。악성복수조저양혈증적발생솔69.0%，산감실형적발생솔66.7%，산감실형이단순성호흡성감중독위주，발생솔44.89%。결론：악성복수환자역발생산감실형급저양혈증，산감실형이호흡성감중독위주，응급시진행혈기분석，급시대증치료，제고환자생활질량。
Objective:To explore the clinical significance of blood gas analysis indexes of patients with malignant ascites.Methods:The blood gas parameters of the malignant ascites group and the healthy control group were detected by using automatic blood gas analyzer.The blood sodium(Na+),the blood chlorine(Cl-) concentration were detected in the venous blood.Results:pH value,PCO2, PO2 and HCO3- of the malignant ascites group were compared with those of the control group,and the differences were all statistically significant(P<0.05).The incidence rate of hypoxemia in the malignant ascites group was 69.0%,the incidence rate of acid-base imbalance was 66.7%,the acid-base imbalance was give priority to with simple respiratory alkalosis,the incidence rate was 44.89%.Conclusion:Patients with malignant ascites easily have acid-base imbalance and hypoxia,the acid-base imbalance is give priority to with respiratory alkalosis.It should monitor the blood gas analysis in a timely manner and give timely symptomatic treatment to improve the life quality of the patients.