Avakov V E, Nisimov P B
Vestn Khir Im I I Grek. 1979 May;122(5):108-12.
The alkaline shift of blood Ph together with marked metabolic acidosis in the liquor were found postoperativery in 42 patients operated upon the colon and small intestine at the height of postoperative psychosis. The patients developed tachipnoe up to 32-36 per minute, followed with a great energy expenditure. As a consequence, artificial pulmonary ventilation (APV) at the hyperventilation regime was administered to a part of the patients to correct acidosis of the liquor. Postoperative psychotic patients need an early administration of the APV at the hyperventilation regime, which is one of effective methods of correcting liquor acidosis in the complex therapy of psychoses.
42例接受结肠和小肠手术的患者在术后精神错乱高峰期出现了血液pH值的碱化以及脑脊液中明显的代谢性酸中毒。患者呼吸急促，可达每分钟32 - 36次，随后能量消耗巨大。因此，部分患者接受了高通气模式下的人工肺通气（APV）以纠正脑脊液酸中毒。术后精神错乱患者需要在高通气模式下尽早进行APV，这是精神病综合治疗中纠正脑脊液酸中毒的有效方法之一。
