【摘要】 本文对50例慢性肺心病患者测定了尿17羟、17酮类固醇及血气分析.发现慢性肺心病患者的肾上腺皮质功能比正常人明显减低,并有随着缺氧与二氧化碳潴留程度的加重而有更为减低的趋势.在PaO₂低于60mmHg,Paco₂高至60mmHg以上时,尿中17羟、17酮排泄量的减少更为明显.说明肺心病患者肾上腺皮质功能减低与缺氧与二氧化碳潴留有关,但与动脉血的pH值无明显关系.更多还原

【Abstract】 We examined 17 hydroxy and 17 ketone corticosleroids in urine and arterial blood gas analysis in 50 patients with chronic cor pulmonale. It is found that the adrenal cortical function of patients with chronic cor pulmonale is lower than that of normal subjects. And there is a decreasing tendency of the state of cortical function following the severity of hypoxia and CO2 retention. The elimination of 17 hydroxy and 17 ketone corticosteroids in urine significantly decreased with PaO2 lower than 60mmHg and PaCO2 higher than 60mmHg. It is evident that there is a close relationship between adrenal cortical function decreasing and the severity of hypoxia and CO2 retention. But there is no significant relation between the function and arterial pH value.更多还原