酸医学知识宣讲.pptVIP

酸医学知识宣讲;来源;调节机制;H+;H+;H+;Parameters Normal values;0;AG = UA-UC = Na+ - (Cl- + HCO3-);Simple acid-base disorders;代酸;;代偿;单纯性酸碱失衡的预计代偿公式;Case I;呼酸;代碱;患者，女，56岁，因慢性肾脏疾患导致的严重呕吐及全身无力入院。 患者嗜睡，皮肤弹性差，平卧位BP 110/90 mmHg，直立位 BP 93/60 mmHg；T 37?C, 脉搏 120 /min；血Na+ 110mmol/L， 血K+ 2.5 mmol/L, 动脉血 pH 7.6；ECG 显示 T波低平，U波明显. 予以NS静脉输注及KCl口服液治疗后，ECG出现高尖T波。 立即静脉输注葡萄糖及胰岛素、并进行血液透析，ECG恢复正常。;Female, 50-year-old, was admitted because of fatigue, weakness and progressive emaciation caused by a 11-month’s upper abdominal pain and a 6-month’s vomiting of mucus and overnight-food. PE: Dry skin