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本文总结了1974至1983年西北地区血气分析和电解质测定的情况,汇集了西北地区健康人的血气正常值,强调了采用本地区海拔梯度血气正常值的必要性。本文还总结了心肺病酸碱失调类型与电解质变化规律,分析了代谢性硷中毒发生的原因、机理,提出了防治碱中毒的一些措施。最后总结了呼衰时酸碱失衡、水电解质失调的规律,提出了以P_aO_2改变作为呼衰分度的基本标准较为适用,同时提出了高原地区呼衰的诊断条件。
This article summarizes blood gas analysis and electrolyte measurements in the northwestern region from 1974 to 1983, brings together the normal blood gas levels in healthy individuals in the northwestern region and emphasizes the need for the use of elevation gradients in the region. This article also summarizes the types of acid-base disorders and electrolyte changes in cardiopulmonary disease, analyzes the causes and mechanisms of metabolic alkalosis, and puts forward some measures to prevent and treat alkali poisoning. In the end, the law of acid-base imbalance and water-electrolyte imbalance is summarized. It is more suitable to use P_aO_2 as the basic standard of respiratory failure index. At the same time, the diagnosis condition of respiratory failure in plateau area is proposed.