Khonelidze G B, Kamyshov Ia M, Moish I I, Bidiak I V, Krachun V I
Vopr Onkol. 1977;23(8):86-9.
In 176 ambulatory patients with cancer and inflammatory diseases of the lung the initial parameters of acid-base balance and blood gases were studied. Metabolic acidosis was found in 29.5%, alkalosis--in 54.5%, the values of acid-base balance and blood gases were normal in 15.9% of patients. The degree of bronchoscopy risk under narcosis in ambulatory patients is directly proportional to the kind, character and intensity of disorders in oxidation-reduction processes. Deep, hardly compensated or decompensated disorders in acid-base balance and gas metabolism in pH values higher than 7.54 and lower the 7.26, BE (buffer base shift)--higher than 4.0 meq/1 and lower than 6.0 meq/l, and pO2 lower than 65 mm Hg are the criteria of high risk of bronchological investigation under anesthesia in ambulatory oncological patients.
对176例患有癌症和肺部炎症性疾病的门诊患者的酸碱平衡和血气初始参数进行了研究。发现29.5%的患者存在代谢性酸中毒，54.5%的患者存在碱中毒，15.9%的患者酸碱平衡和血气值正常。门诊患者麻醉下支气管镜检查的风险程度与氧化还原过程中紊乱的种类、性质和强度成正比。pH值高于7.54和低于7.26、BE（缓冲碱偏移）高于4.0 meq/1和低于6.0 meq/l以及pO2低于65 mmHg时，酸碱平衡和气体代谢中深度、难以代偿或失代偿的紊乱是门诊肿瘤患者麻醉下支气管学检查高风险的标准。
