[Physiopathological and clinical data on post-hypercapnic metabolic alkalosis. A case of severe hypercapnia treated with drugs and in an "iron lung"].
The Authors produce a further contribution on metabolic post-hypercapnic alkalosis on the basis of clinical observation of a patient with severe hypercapnia and respiratory failure undergoing intensive care as well as treatment with iron lung (Pulmolife). The improvement of respiratory acid-base umbalance was associated with alteration of electrolytic assessment, especially of the plasmatic chloride ratio. The Authors consider this remark as a starting point for a physiopathological pattern and a more complete analysis of the pathways which generate the metabolic post-hypercapnic alkalosis condition in such patients.
D000471:Alkalosis / Q000209:etiology*; D004232:Diuretics / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D006935:Hypercapnia / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000150:complications / Q000628:therapy
D004232:Diuretics; D006854:Hydrocortisone
Considerazioni fisiopatoligiche e cliniche in tema di alcalosi metabolica post-ipercapnica. A proposito di un caso di grave ipercapnia sottoposto a terapia medica e meccanica con "polmone d'acciaio".