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患者男,59岁,木匠工人,因气短、呼吸困难急诊就医。查体,脉搏112次/分,血压133/88,呼吸35次/分。全肺可闻湿性罗音,呼吸音增强。病人面容灰色,指甲床表现有明显青紫,取动脉血作化验检查,作胸部X线检查,并给病人氧气。一个半小时之后,护士发现病人反应异常,请医生检查,病人面色变为桃红色,无青紫表现,呼吸平稳,每分钟10次,心率140次/分,血压85/50,病人呈深度昏迷。血液化验检查结果,Hb16克,血细胞比容52％,Po_2为48mmHg,Pco_2为90mmHg,H~+浓度为45nM,HCO_3为48mM。
Male patient, 59 years old, carpenter worker, due to shortness of breath, difficulty breathing emergency medical treatment. Physical examination, pulse 112 beats / min, blood pressure 133/88, breathing 35 beats / min. The whole lung can be heard wet rales, respiratory sounds increased. Patients face gray, nail bed performance was significantly purple, take arterial blood for laboratory tests, chest X-ray examination, and oxygen to the patient. An hour and a half later, the nurse found the patient’s reaction abnormalities, please check the doctor, the patient turned pink, no purple performance, breathing steady, 10 times per minute, heart rate 140 beats / min, blood pressure 85/50, the patient was deep coma. Blood test results, Hb16 grams, hematocrit 52%, Po_2 to 48mmHg, Pco_2 90mmHg, H ~ + concentration of 45nM, HCO_3 of 48mM.