结核性胸腔积液抽液前后血气动态变化分析

中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (2): 84-86.

结核性胸腔积液抽液前后血气动态变化分析

李祥蓉；席家宁；吴秀兰；宋守忠；

北京胸科医院;

收稿日期:1998-12-30 修回日期:1999-02-10 出版日期:1999-02-10 发布日期:1999-02-10

The changing tendency of blood gas of patients with tuberculous hydrothorax before and after thoracentesis

Li Xiangrong,Xi Jianing,Wu Xiulan,et al.

Beijing Chest Hospital 100095

Received:1998-12-30 Revised:1999-02-10 Online:1999-02-10 Published:1999-02-10

摘要/Abstract

摘要： 目的了解结核性胸腔积液患者在抽液前后的血气变化情况?方法对40例单侧结核性胸腔积液患者抽液前后不同时间的血气和P(A-a)O₂进行检测?结果抽液前PaO₂及PaCO₂均降低,而P(A a)O₂增大;术后PaO₂升高,P(A-a)O₂逐渐变小,PaCO₂无明显变化?结论结核性胸腔积液可导致低氧血症及慢性呼吸性碱中毒,抽液能改变低氧血症。

关键词: 结核.胸膜, 血气分析

Abstract: Objective To evaluate the changing tendency of patients with tuberculous hydrothorax before and after thoracentesis.Method Testing the blood gas and P(A-a)O₂ from 40 patients with tuberculous hydrothorax before and after thoracentesis.Result PaO₂ and PaCO₂ decreased,P(A a)O₂ increased before thoracentesis.PaO₂ increased,P(A-a)O₂ reduced,PaCO₂ unsignificantly changed after thoracentesis.Conclusion Tuberculous hydrothorax could cause hypoxemia and chronic respiratory alkalosis.Thoracentesis could improve the hypoxemia.

Key words: Tuberculosis, pleural, Blood gas

李祥蓉, 席家宁, 吴秀兰, 宋守忠, . 结核性胸腔积液抽液前后血气动态变化分析[J]. 中国防痨杂志, 1999, 21(2): 84-86.

Li Xiangrong,Xi Jianing,Wu Xiulan,et al.. The changing tendency of blood gas of patients with tuberculous hydrothorax before and after thoracentesis[J]. Chinese Journal of Antituberculosis, 1999, 21(2): 84-86.