중증폐결핵증의 산염기평형

Abstract

The objectives of this study is to define the scope of changes in acid-base status in far-advanced pulmonary tuberculosis and to sec whether this results could be utilized for an evaluation of pulmonary function in patients with pulmonary tuberculosis. The parameter of blood acid-base equilibrium was measured with method of Astrup in 20 far-advanced cases. The results obtained are as follows: I. PH 7. 432±0. 072 PCO, 38· 9±2. 7 mmHg, St. HCO, 25. 3±1. 0 mEq/L. Act. HCO, 25.O±I. 4 mEq/L Total CO, 26· 2±1. 4 mEq/L, B. E. 1. 6±1. 2 mEq/L, B. B. 49.2±3. I mEq/L 2. The above each parameter of acid-base equilibrium in advanced cases was found to be within normal limits. Plotting each value of the results On nomogram of Devenport, Siggaard-Andersen and Kintner, however, trends toward respiratory alkalosis in acid-base status could be easily recongized as a whole.