Posthypercapnic综合症

Q4 Medicine

Pulmonologiya Pub Date : 2023-06-09 DOI:10.18093/0869-0189-2023-33-3-420-426

H. C. Nguyen, I. Baranova, A. Chuchalin

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引用次数: 0

摘要

高碳酸血症性呼吸衰竭是慢性阻塞性肺疾病(COPD)患者住院和死亡的常见原因。本研究的目的是分析高碳酸血症性呼吸衰竭的病理生理机制和临床表现，并以一例临床病例为例，探讨慢性阻塞性肺疾病治疗过程中并发高碳酸血症后碱中毒的处理策略。迄今为止，寻找垂体后碳酸碱中毒的新治疗方法仍然是相关的，但关于这一主题的研究很少发表。混合代谢紊乱的急性问题可以通过综合治疗方法解决，包括使用医用气体。

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Posthypercapnic syndrome

Hypercapnic respiratory failure is a common cause of hospitalization and death in patients with chronic obstructive pulmonary disease (COPD).The aim of this work was to analyze the pathophysiological mechanisms and clinical picture of hypercapnic respiratory failure and to discuss the tactics of managing a patient with COPD and posthypercapnic alkalosis that developed during treatment using a clinical case as an example.Conclusion. To date, the search for new treatments for posthypercapnic alkalosis is still relevant, but there are few published studies on this topic. Acute problems in mixed metabolic disorders can be solved with an integrated therapeutic approach that includes the use of medical gases.

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来源期刊

Pulmonologiya Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The aim of this journal is to state a scientific position of the Russian Respiratory Society (RRS) on diagnosis and treatment of respiratory diseases based on recent evidence-based clinical trial publications and international consensuses. The most important tasks of the journal are: -improvement proficiency qualifications of respiratory specialists; -education in pulmonology; -prompt publication of original studies on diagnosis and treatment of respiratory diseases; -sharing clinical experience and information about pulmonology service organization in different regions of Russia; -information on current protocols, standards and recommendations of international respiratory societies; -discussion and consequent publication Russian consensus documents and announcement of RRS activities; -publication and comments of regulatory documents of Russian Ministry of Health; -historical review of Russian pulmonology development. The scientific concept of the journal includes publication of current evidence-based studies on respiratory medicine and their discussion with the participation of Russian and foreign experts and development of national consensus documents on respiratory medicine. Russian and foreign respiratory specialists including pneumologists, TB specialists, thoracic surgeons, allergists, clinical immunologists, pediatricians, oncologists, physiologists, and therapeutists are invited to publish article in the journal.