¹ П.Н.Шастины Төв Эмнэлэг,

² ЭМШУИС-Mэс заслын 1 тэнхим,

³ ЭМШУИС-НЭМС

Бид тархины эдийн цус харвалтын үеийн артерийн цусны хийжилт ба хүчил-суурийн тэнцэлт байдалд гарсан өөрчлөлтийг судлан үзэж дүгнэлт хийх, үнэлгээний дүнг эмнэлзүйн шийдвэр гаргахад хэрэглэх зорилго тавин тархины эдийн цус харвалттай 112 өвчтөний артерийн цуснаас артерийн цусны хийжилт, хүчил-суурийн тэнцэлт байдлыг шинжилж үзлээ. Биднийсудалгаанд тархины эдийн цус харвалттай 25-83 насны эрэгтэй 66 (58.9%), эмэгтэй 46 (41.1%) нийт 112 өвчтөн хамрагдсанаас дундаж наслалт 56.01±11.8 байв. Артерийн цусны хийжилт, хүчил-суурийн тэнцэлт байдлыг авч үзэхэд 112 өвчтөний 19 (17%) өвчтөн артерийн цусны хийжилт, хүчил-суурийн тэнцлийн алдагдалгүй, 77 (68.8%) өвчтөн амьсгалын шүлтшилтэй, 5 (4.5%) өвчтөн амьсгалын шүлтшил ба бодисын солилцооны хүчилшил хавсарсан, 2 (1,8%) өвчтөн амьсгалын хүчилшилтэй, 4 (3.6%) өвчтөн бодисын солилцооны шүлтшилтэй, 4 өвчтөн (3.6%)-холимог шүлтшилтэй, 1өвчтөн (0.9%)-холимог хүчилшилтэй гарав. Тархины эдийн цус харвалтын үед артерийн цусны хийжилт, хүчил-суурийн тэнцлийн амьсгалын шүлтшил хэлбэрийн алдагдал, гипокапнийн өөрчлөлт зонхилон тохиолдож байна. Артерийн цусны хийжилт, хүчил-суурийн тэнцэлт байдлын алдагдал нь биеийн хүнд хөнгөний түвшнийг үнэлэх, нас баралтын тавиланг илэрхийлэх APACHE II үнэлгээнд нөлөөлөн

өвчтөний тавиланд сөрөг нөлөө үзүүлж байгааг тогтоов. (r=0.39 p<0.001)

To study and evaluate the change occurred in APACHE II score and arterial blood gas, acid base balance of the patients suffering from intracranial stroke. Materials and method: Test for Arterial Blood Gas and Acid Base Balance were used on 112 patients with Intracranial Hemorrhage. Results: There were 66 men and 46 women between the ages of 25 and 83. Nineteen patients (17%) had normal, seventy seven (68.8%) patients had respiratory alkalosis, five patients (4.5%) had respiratory alkalosis and metabolic acidosis, two patients (1,8%) had respiratory acidosis, four patients (3,6%) had metabolic alkalosis, four patients (3.6%) had mixed alkalosis, one patient (0.9%) had mixed acidosis. In cases of intracranial hemorrhage Arterial Blood Gas and Acid Base Balance is affected in most patients in the character of respiratory alkalosis and hypocapnia, due to hyperventilation. By APACHE II (Acute Physiology And Chronic Health Evaluation) scoring system, nine patients had 4% mortality chance, seventeen patients had 8% mortality chance, thirty eight patients had 15% mortality chance, thirty seven patients had 25% mortality chance, nine patients had 40% mortality chance, one patient had 55% mortality chance. In 4% mortality

chance group, one patient had respiratory alkalosis, eight patients had no change in acid base balance. In 8%в mortality group, seven patients had respiratory alkalosis, two patients had metabolic alkalosis and eight patients had no change in acid base balance. In 15% mortality group, thirty two patients had respiratory alkalosis, one patient had respiratory acidosis, one had metabolic alkalosis, three patients had normal, one patient had respiratory alkalosis and metabolic acidosis, one patient had mixed alkalosis. In 25% mortality group thirty patients had respiratory alkalosis, one patient had metabolic alkalosis, two patients had respiratory alkalosis and metabolic acidosis, three patients had mixed alkalosis, and one patient had metabolic acidosis. In 40% mortality group 6 patients had respiratory alkalosis, 1 patient had respiratory acidosis, and 2 had respiratory alkalosis and metabolic acidosis. In 55% mortality group, one patient had respiratory alkalosis. Conclusions: There were significant correlations between Acid Base disbalance and APACHE II (Acute Physiology And Chronic Health Evaluation) scoring(r=0.39** p<0.001) and it shows that Acid base balance test can be useful for determining patient prognosis

and for deciding further management.

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