[Nature of metabolic alkalosis in the postoperative period in patients with pulmonary tuberculosis]

Abstract

Sixty five patients with pulmonary tuberculosis subjected to extensive and traumatic surgical interventions were investigated. Metabolic alkalosis to the end of the 1st--2d postoperative day would develop in patients, who showed acid-base balance disorders toward acid aspect during the operation. In the mechanism of development of a grave decompensated postoperative metabolic alkalosis the role of a trigger factor is played by a massive intraoperative blood loss with marked hemodynamic disturbances in the immediate postoperative period.