{"id":51733,"date":"2025-05-17T05:10:42","date_gmt":"2025-05-17T05:10:42","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=51733"},"modified":"2025-05-17T05:10:42","modified_gmt":"2025-05-17T05:10:42","slug":"%e8%a1%80%e6%b0%94%e5%88%86%e6%9e%90%e4%b9%8b%e9%85%b8%e7%a2%b1%e5%b9%b3%e8%a1%a1%e5%88%86%e6%9e%90-%e5%ae%9e%e6%88%98%e5%ae%8c%e7%bb%93%e7%af%87","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=51733","title":{"rendered":"\u8840\u6c14\u5206\u6790\u4e4b\u9178\u78b1\u5e73\u8861\u5206\u6790\u2014\u2014\u5b9e\u6218\u5b8c\u7ed3\u7bc7"},"content":{"rendered":"

\u524d\u9762\u6211\u4eec\u7528\u4e86\u4e09\u7bc7\u6587\u7ae0\u7b80\u8ff0\u4e86\u8840\u6c14\u5206\u6790\u4e2d\u7684\u9178\u78b1\u5931\u8861\u95ee\u9898\u3002<\/p>\n

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\u5b9e\u6218\u4e0b\u8840\u6c14\u5206\u6790\u4e4b\u9178\u78b1\u5e73\u8861\u5206\u6790\u2014\u2014\u5b9e\u6218\u7bc7\uff08\u4e0b\uff09<\/p>\n

\u9274\u4e8e\u6709\u670b\u53cb\u53cd\u6620\u5b9e\u6218\u7bc7\u5185\u5bb9\u8840\u6c14\u4e3e\u4f8b\u6570\u5b57\u592a\u591a\uff0c\u4ee5\u81f3\u773c\u82b1\u7f2d\u4e71\uff0c\u4eca\u5929\u6211\u4eec\u5c06\u4e3e\u4f8b\u4e2d\u7684\u8840\u6c14\u505a\u6210\u8868\u683c\u7684\u5f62\u5f0f\uff0c\u53ef\u8df3\u8fc7\u5b9e\u6218\u4e0a\u4e0b\u7bc7\uff0c\u76f4\u63a5\u4ece\u516d\u6b65\u6cd5\u8fdb\u5165\u672c\u7bc7\u3002<\/p>\n

\u9996\u5148\u4f9d\u65e7\u662f\u4ee3\u507f\u516c\u5f0f\uff1a<\/p>\n

\u4ea8\u5fb7\u68ee-\u54c8\u585e\u5c14\u5df4\u8d6b\u65b9\u7a0b\u5f0f\u8ba1\u7b97H+<\/sup>\uff08\u56fe\u7247\u6765\u6e90\u4e8e\u7f51\u7edc\uff09\u6ce8\uff1a\u4ee5\u4e0b\u8868\u5185\u6570\u503c\u7701\u7565\u5355\u4f4d\u3002PaCO2\u5355\u4f4d\u4e3ammHg\u3001HCO3-\u3001K+\u3001Na+\u3001Cl-\u5355\u4f4d\u4e3ammol\/L1.\u8ba1\u7b97H+\u75652.\u5206\u6790PH7.28\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861 PaCO2 75\uff1e40 \u9178\uff0cHCO3- 34\uff1e24 \u78b1\uff0c\u63d0\u793a\u539f\u53d1\u6027\u547c\u5438\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f HCO3-=24+3.5\u00d7\uff0875-40\uff09\/10\u00b15.58=30.67-41.83\uff0c\u8be5\u60a3\u8005HCO3-\u4e3a34\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u51855.\u8ba1\u7b97AG=139-96-34=9 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u6162\u6027\u547c\u5438\u6027\u9178\u4e2d\u6bd2<\/p>\n

1.\u8ba1\u7b97H+\u7565<\/p>\n

2.\u5206\u6790PH 7.45\uff1e7.4 \u78b1<\/p>\n

3.\u5224\u65ad\u539f\u53d1\u5931\u8861 PaCO2 30\uff1c40 \u78b1\uff0cHCO3- 20\uff1c24 \u9178\uff0c\u63d0\u793a\u539f\u53d1\u6027\u547c\u5438\u6027\u78b1\u4e2d\u6bd2<\/p>\n

4.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f HCO3-=24-2\u00d7\uff0840-30\uff09\/10\u00b12.5=19.5-24.5\uff0c\u8be5\u60a3\u8005HCO3-\u4e3a20\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u5185<\/p>\n

5.\u8ba1\u7b97AG=139-106-20=13 \u5728\u6b63\u5e38\u8303\u56f4\u5185<\/p>\n

\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u6025\u6027\u547c\u5438\u6027\u78b1\u4e2d\u6bd2<\/p>\n<\/p>\n

1.\u8ba1\u7b97H+\u7565<\/p>\n

2.\u5206\u6790PH 7.29\uff1c7.4 \u9178<\/p>\n

3.\u5224\u65ad\u539f\u53d1\u5931\u8861 HCO3-14\uff1c24 \u9178\uff0cPaCO2 30\uff1c40 \u78b1\uff0c\u539f\u53d1\u6027\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2<\/p>\n

4.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f PaCO2=1.5\u00d714+8\u00b12=27-31\uff0c\u8be5\u60a3\u8005\u4e3aPaCO2\u4e3a30\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u5185\u3002<\/p>\n

5.\u8ba1\u7b97AG=140-112-14=14 \u5728\u6b63\u5e38\u8303\u56f4\u5185<\/p>\n

\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2<\/p>\n<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.48\uff1e7.4 \u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861 HCO3-30\uff1e24 \u78b1\uff0cPaCO2 42\uff1e40 \u9178\uff0c\u539f\u53d1\u6027\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f PaCO2=40+0.9\u00d7\uff0830-24\uff09\u00b15=40.4-50.4\uff0c\u8be5\u60a3\u8005PaCO2\u4e3a42\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u5185\u30025.\u8ba1\u7b97AG=140-98-30=12 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2<\/p>\n

1.\u8ba1\u7b97H+\u75652.\u5206\u6790PH 7.22\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861 HCO3-20\uff1c24 \u9178\uff0cPaCO2 50\uff1e40 \u9178\u3002\u63d0\u793a\u547c\u9178\u5408\u5e76\u4ee3\u9178\uff0c\u4e0d\u5b58\u5728\u673a\u4f53\u4ee3\u507f\uff0c\u6545\u4e0d\u9700\u8981\u8fdb\u884c\u7b2c4\u6b65\u30025.\u8ba1\u7b97AG=140-10-20=10 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u547c\u9178\u5e76\u4ee3\u9178\u3002<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.20\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 80\uff1e40 \u9178\uff0c HCO3-30\uff1e24 \u78b1\uff0c\u539f\u53d1\u6027\u547c\u5438\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f HCO3-=24+3.5\u00d7\uff0880-40\uff09\/10\u00b15.58=32.42-43.58\uff0c\u8be5\u60a3\u8005HCO3- 30\uff1c32.42\uff0c\u63d0\u793a\u5408\u5e76\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd25.\u8ba1\u7b97AG=139-100-30=9 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u6162\u6027\u547c\u9178\u5e76\u4ee3\u9178\u3002<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.26\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861HCO3-16\uff1c24 \u9178\uff0cPaCO2 37\uff1c40 \u78b1\uff0c\u539f\u53d1\u6027\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f PaCO2=1.5\u00d716+8\u00b12=30-34\uff0c\u8be5\u60a3\u8005PaCO2\u4e3a37\uff1e34\uff0c\u63d0\u793a\u5408\u5e76\u547c\u5438\u6027\u9178\u4e2d\u6bd25.\u8ba1\u7b97AG=140-110-16=14 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u4ee3\u9178\u5408\u5e76\u547c\u9178<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.28\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 80\uff1e40 \u9178\uff0cHCO3- 36\uff1e24 \u78b1\uff0c\u539f\u53d1\u6027\u547c\u5438\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f  HCO3-=24+\uff0880-40\uff09\/10\u00b13=24-30\uff0c\u8be5\u60a3\u8005HCO3- 36\uff1e30\uff0c\u63d0\u793a\u5408\u5e76\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd25.\u8ba1\u7b97AG=140-94-36=10 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u6025\u6027\u547c\u9178\u5408\u5e76\u4ee3\u78b1<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.62\uff1e7.4 \u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 30\uff1c40 \u78b1\uff0cHCO3- 30\uff1e24 \u78b1\uff0c\u63d0\u793a\u547c\u78b1\u5408\u5e76\u4ee3\u78b1\uff0c\u4e0d\u5b58\u5728\u673a\u4f53\u4ee3\u507f\uff0c\u6545\u4e0d\u9700\u8981\u8fdb\u884c\u7b2c4\u6b65\u30025.\u8ba1\u7b97AG=140-98-30=12 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u547c\u78b1\u5408\u5e76\u4ee3\u78b1<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.58\uff1e7.4 \u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861 PaCO2 20\uff1c40 \u78b1\uff0cHCO3- 18\uff1c24 \u9178\uff0c\u63d0\u793a\u539f\u53d1\u6027\u547c\u5438\u6027\u78b1\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f HCO3-=24-5\u00d7\uff0840-20\uff09\/10\u00b12.5=11.5-16.5\uff0c\u8be5\u60a3\u8005HCO3-\u4e3a18\uff1e16.5\uff0c\u63d0\u793a\u5b58\u5728\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd25.\u8ba1\u7b97AG=140-110-18=12 \u5728\u6b63\u5e38\u8303\u56f4\u5185\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u6162\u6027\u547c\u78b1\u5408\u5e76\u4ee3\u78b1\u3002<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH 7.29\uff1c7.4 \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861 HCO3-14\uff1c24 \u9178\uff0cPaCO2 30\uff1c40 \u78b1\uff0c\u539f\u53d1\u6027\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0f PaCO2=1.5\u00d714+8\u00b12=27-31\uff0c\u8be5\u60a3\u8005\u4e3aPaCO2\u4e3a30\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u5185\u30025.\u8ba1\u7b97AG=140-108-14=18\uff1e16\uff0c\u63d0\u793a\u5b58\u5728\u9ad8AG\u4ee3\u9178\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u9ad8AG\u4ee3\u9178\u5408\u5e76\u9ad8Cl-\u6027\u4ee3\u9178\uff08\u6df7\u5408\u6027\u4ee3\u9178\uff09<\/p>\n

1.\u8ba1\u7b97H+2.\u5206\u6790PH 7.40  \u65e0\u660e\u663e\u9178\u6216\u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861 HCO3-25 PaCO2 40\uff0c\u5747\u5728\u6b63\u5e38\u8303\u56f4\u5185\u673a\u4f53\u4e0d\u5b58\u5728\u4ee3\u507f\uff0c\u65e0\u9700\u8fdb\u884c\u7b2c\u56db\u6b65\u4ee3\u507f\u8ba1\u7b975.\u8ba1\u7b97AG=140-95-25=20\uff1e16\uff0c\u63d0\u793a\u5b58\u5728\u9ad8AG\u4ee3\u91786.\u8ba1\u7b97\u6f5c\u5728HCO3-=25+\uff0820-12\uff09=33\uff1e27\uff0c\u63d0\u793a\u4ee3\u78b1\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u9ad8AG\u4ee3\u9178\u5e76\u4ee3\u78b1<\/p>\n

\u6162\u963b\u80ba\u60a3\u8005\u8840\u6c141.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH7.33\uff1c7.40  \u91783.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 70\uff1e40 \u9178\uff0cHCO3- 36\uff1e24 \u78b1\uff0c\u539f\u53d1\u6027\u547c\u5438\u6027\u9178\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0fHCO3-=24+3.5\u00d7\uff0870-40\uff09\/10\u00b15.58=28.92-40.08\uff0c\u8be5\u60a3\u8005HCO3- 36\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u51855.\u8ba1\u7b97AG=140-80-36=24\uff1e16\uff0c\u63d0\u793a\u5b58\u5728\u9ad8AG\u4ee3\u91786.\u8ba1\u7b97\u6f5c\u5728HCO3-=36+\uff0824-12\uff09=48\uff1e27\uff0c\u63d0\u793a\u4ee3\u78b1\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u547c\u9178+\u4ee3\u78b1+\u9ad8AG\u4ee3\u9178<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH7.61\uff1e7.40  \u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 30\uff1c40 \u78b1\uff0cHCO3- 29\uff1e24 \u78b1\uff0c\u547c\u78b1\u5408\u5e76\u4ee3\u78b1\u673a\u4f53\u4e0d\u5b58\u5728\u4ee3\u507f\uff0c\u65e0\u9700\u8fdb\u884c\u7b2c\u56db\u6b65\u4ee3\u507f\u8ba1\u7b975.\u8ba1\u7b97AG=140-90-29=21\uff1e16\uff0c\u63d0\u793a\u5b58\u5728\u9ad8AG\u4ee3\u9178\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u547c\u78b1+\u4ee3\u78b1+\u9ad8AG\u4ee3\u9178<\/p>\n

1.\u8ba1\u7b97H+ \u75652.\u5206\u6790PH7.52\uff1e7.40  \u78b13.\u5224\u65ad\u539f\u53d1\u5931\u8861PaCO2 28\uff1c40 \u78b1\uff0cHCO3- 22\uff1c24 \u9178\uff0c\u539f\u53d1\u6027\u547c\u5438\u6027\u78b1\u4e2d\u6bd24.\u8ba1\u7b97\u4ee3\u507f\u516c\u5f0fHCO3-=24-2\u00d7\uff0840-28\uff09\/10\u00b12.5=19.1-24.1\uff0c\u8be5\u60a3\u8005HCO3- 22\uff0c\u5728\u4ee3\u507f\u8303\u56f4\u51855.\u8ba1\u7b97AG=140-96-22=22\uff1e16\uff0c\u63d0\u793a\u5b58\u5728\u9ad8AG\u4ee3\u91786.\u8ba1\u7b97\u6f5c\u5728HCO3-=22+\uff0822-12\uff09=32\uff1e27\uff0c\u63d0\u793a\u4ee3\u78b1\u56e0\u6b64\u8be5\u60a3\u8005\u8840\u6c14\u5206\u6790\u7ed3\u679c\u4e3a\uff1a\u547c\u78b1+\u9ad8AG\u4ee3\u9178+\u4ee3\u78b1\u672c\u6587\u662f\u5b9e\u6218\u7bc7\u7684\u603b\u7ed3\uff0c\u81f3\u6b64\u8840\u6c14\u5206\u6790\u9178\u78b1\u5e73\u8861\u5c06\u544a\u4e00\u6bb5\u843d\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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