血气知识概述精品.pptVIP

pO2 98 mmHg ctO2 16.6 mg/dL p50 26.3 mmHg 病例　 ctHb 14.5 g/dL COHb 30% CO 中毒 --推荐客户查阅 * * * 血气演变历史，加上雷度第一台pH计等等 * 我建议中英文统一，要么英文，要么中文，不要交隔 * * * * * 6 * 7 * 8 * * * * * * * * ILactate can be produced by all tissues but the muscle ..... Also the gut,skin and the brain produce lactate. What is the purpose of lactate? ...... So it is related to energy production Background information: Lactate are produced under normal conditions approximately 1400 mmol/L Also the gut and the brain produce lactate. The red blood cells do not have mitochondria and are therefore only able to generate energy ATP by producing lactate ATP = adenosine-triphoshate * Glucose enters the cell, regulated by insulin The complete break down or metabolism of glucose involves many steps and this is therefore a simplification In the cell 1 unit glucose is converted to pyruvate, generating 2 mol ATP without oxygen consumption secondly pyruvate is metabolized to energy (34 mol ATP) while consuming oxygen The second process takes place in the mitochondria and is oxygen demanding. When oxygen is scarce, pyruvate is metabolized to lactate in order to replenish a metabolic enzyme needed for the glu-pyr reactions. This way, the cell obtain some energy despite the lack of oxygen * Important to deliver the message that Radiometer did not INVENT the content. The content is based upon medical textbooks and is merely presented as a clinical concept. The material does not represent the full story but the main issues to consider in oxygen status evaluation. * pO2, sO2 and tHb give a good picture of oxygen uptake and of the potential for oxygen transport. The actual oxygen transport and the release to tissue cannot be evaluated from these parameters. * * * * Animation from To run the animation, it’s original file must be placed in the same folder as the ppt –file It is set for repeated run – you might answer questions or ask questions while it is running. * 血气知识概述 雷度中国 2010 什么是血气分析？ 血液气体(简称血气）是指物理溶解在血液