水电酸碱幻灯.pptVIP

SUMMARY Finally,I should emphasize the diagnosis and treatment of common types of homeostatic disorders.It is difficult to judge the type of acid-base imbalance,especially the mixed-type,but I believe that you can do it well in future clinic pratice. * 代谢性酸中毒 ↓ ↓↓[HCO3-] ↓PaCO2 代谢性碱中毒 ↑ ↑↑[HCO3-] ↑PaCO2 呼吸性酸中毒 ↓ ↑↑PaCO2 ↑[HCO3-] 呼吸性碱中毒 ↑ ↓↓PaCO2 ↓[HCO3-] 酸碱失衡的代偿反应 失衡类型 pH 原发因素 代偿反应 * 酸碱失衡代偿值预计公式 原发失衡 代 偿 值 预 计 公 式 代偿时限 代 酸 预计PaCO2=40－(24－HCO3- )×1.2±2 12～24h 代 碱 预计PaCO2=40＋(HCO3-－24)×0.9±5