Nikonov A P, Burlev V A
Akush Ginekol (Mosk). 1992 Feb(2):39-42.
Lochial acid-base status was analyzed in 45 puerperants in whom the postpartum period ran an uncomplicated course or was complicated by endometritis. The normal course of the puerperium is associated with the development of metabolic acidosis in the uterine cavity, and this acidosis is completely compensated for at the expense of gas alkalosis. In slight endometritis metabolic acidosis augments, and grave endometritis is associated with the development of marked acidosis at the expense of the development of tissue hypoxia in the presence of metabolic acidosis.
对45名产后过程无并发症或并发子宫内膜炎的产妇的恶露酸碱状态进行了分析。产褥期的正常过程与子宫腔内代谢性酸中毒的发展相关,这种酸中毒通过气体碱中毒得以完全代偿。在轻度子宫内膜炎时,代谢性酸中毒加剧,而严重的子宫内膜炎则与在代谢性酸中毒情况下因组织缺氧的发展而出现明显酸中毒相关。