Jehle D, Harchelroad F
Emerg Med Clin North Am. 1986 Feb;4(1):145-73.
Bicarbonate is a laboratory value of considerable importance in emergency medicine. It is essential in the diagnosis of acid-base disorders, but must be interpreted in the context of a number of other parameters, including electrolytes, arterial blood gases, and renal function. As most laboratory evaluations, its prime importance is confirmation of impressions drawn from the history and physical examination. Still, in the emergency department, it is frequently found as an unsuspected component of a variety of pathologic processes. Except in extreme deviations from the normal range, the clinician is encouraged to seek an understanding of primary and compensatory processes before the initiation of therapy.
碳酸氢根是急诊医学中一项相当重要的实验室指标。它在酸碱平衡紊乱的诊断中至关重要，但必须结合包括电解质、动脉血气和肾功能等其他多项参数来解读。与大多数实验室检查一样，其最重要的作用是证实根据病史和体格检查得出的初步判断。不过，在急诊科，它经常是各种病理过程中未被怀疑的组成部分。除非与正常范围有极大偏差，否则鼓励临床医生在开始治疗前先了解原发和代偿过程。
