Cornelius L M, Rawlings C A
J Am Vet Med Assoc. 1981 May 1;178(9):992-5.
Results of arterial blood gas and acid-base analysis on initial samples prior to therapy were reviewed for 220 dogs admitted to the University of Georgia Veterinary Teaching Hospital. Acidemia or alkalemia was detected in 61 of 220 dogs (28%). The most common acid-base abnormality was metabolic acidosis (79 of 220 dogs--36%). Primary metabolic acidosis was the acid-base category associated most frequently with the combination of vomiting and diarrhea, dehydration, and the combination of polydipsia and polyuria, whereas normal mean arterial PCO2 and [HCO3-] values and primary metabolic acidosis were detected with equal frequency in vomiting, diarrhea, and cyanosis. Arterial hypoxemia was found most frequently in patients with restrictive respiratory tract disease (restricted lung expansion), lower respiratory tract disease, heartworm disease, and circulatory system disease. Significantly lower (P less than or equal to 0.05) arterial pH and PO2 were detected initially in dogs that eventually died, as compared with dogs that were improved at the time of discharge from the hospital. Mean [HCO3-] values also were lower initially in dogs that eventually died, as compared with those that improved, but the differences were not statistically significant.
对佐治亚大学兽医教学医院收治的220只犬治疗前初始样本的动脉血气和酸碱分析结果进行了回顾。220只犬中有61只(28%)检测到酸血症或碱血症。最常见的酸碱异常是代谢性酸中毒(220只犬中有79只——36%)。原发性代谢性酸中毒是与呕吐和腹泻、脱水以及多饮和多尿组合最常相关的酸碱类别,而在呕吐、腹泻和发绀中,正常平均动脉PCO2和[HCO3-]值以及原发性代谢性酸中毒的检测频率相同。动脉低氧血症最常见于限制性呼吸道疾病(肺扩张受限)、下呼吸道疾病、心丝虫病和循环系统疾病患者。与出院时病情好转的犬相比,最终死亡的犬最初检测到的动脉pH值和PO2显著更低(P≤0.05)。与病情好转的犬相比,最终死亡的犬最初的平均[HCO3-]值也更低,但差异无统计学意义。