呼吸机相干酸碱平衡杂乱及对策(国外英文资料).docVIP

呼吸机相关酸碱平衡紊乱及对策(国外英文资料) The balance of acid and alkali of the ventilator was disturbed and the countermeasures were put forward As is known to all, breathing machine used properly can help improve ventilation, correction of oxygen and carbon dioxide retention, is used for clinical rescue and treatment of a variety of reasons cause the important tool of respiratory failure. Both oxygen and carbon dioxide are important blood gases and are closely related to the bodys acid and alkali balance. Breathing machine, therefore, is to improve the pulmonary ventilation at the same time, also affect the bodys acid-base balance, its occurrence mechanism is related with many factors, such as basic diseases and the regulation of breathing machine parameters, etc. Understanding the effect of mechanical ventilation on acid base balance and its mechanism can help to better understand the change of blood gas result and adopt corresponding treatment strategy. The importance of breath in the balance of acid and alkali The acid base substance in the body is produced by the metabolism of 3 major nutrients, and the production of acid is the majority. The substances produced by the bodys metabolism include volatile acids and fixed acids, which are abundant in the former, and the main substance is co2, which is regulated through the lungs. The latter include glycolysis, protein metabolism, sugar, acid produced by oxidation, fat metabolism, they wont turn to gas by the lungs, only through renal excretion. The bodys adjustment of acid and alkali depends on the regulation of the blood buffer system, lung, kidney and tissue cell. The blood buffer system reacts quickly but does not last; Pulmonary regulation is maintained by changing the volume of air sacs controlling the amount of carbon dioxide, usually at the height of 30min; The kidney is slow to work by secreting H + and reabsorbing Hco3 - and the NH4 + regulation. It will take several hours to work, and the peak of the 3 ~ 5d. The ion-excha