Hobbs J
Department of Family Medicine, Medical College of Georgia, Augusta 30912-5470.
Postgrad Med. 1988 Feb 1;83(2):121-9, 132. doi: 10.1080/00325481.1988.11700141.
Determination of the appropriateness of the compensatory response is essential in evaluation of any acid-base disturbance. Adequate compensation supports the presence of a single acid-base event. Inadequate compensation may indicate that a second primary acid-base event is present or, in some circumstances, that time has been inadequate for maximal physiologic compensation. When acid-base disturbances are mixed, treatment of one disorder may unmask the full pH-altering potential of the second disorder. Close monitoring of patients at risk for the development of acid-base disorders permits detection of problems at a time when intervention may prevent serious complications. Relatively inexpensive and easy-to-use chemical analytic systems to assist early diagnosis are now present in many office-based laboratories.
在评估任何酸碱平衡紊乱时，确定代偿反应是否恰当至关重要。充分的代偿支持单一酸碱事件的存在。代偿不充分可能表明存在第二种原发性酸碱事件，或者在某些情况下，是时间不足以实现最大程度生理代偿。当酸碱平衡紊乱为混合型时，治疗一种紊乱可能会暴露出第二种紊乱改变pH的全部潜力。对有发生酸碱平衡紊乱风险的患者进行密切监测，有助于在干预可预防严重并发症时发现问题。现在许多门诊实验室都有相对便宜且易于使用的化学分析系统来辅助早期诊断。
