产妇代谢性酸中毒的检测与鉴别
Detection and differentiation of metabolic acidosis in parturients.
作者信息
Marx G F, Desai P K, Habib N S
出版信息
Anesth Analg. 1980 Dec;59(12):929-31.
PMID:7192513
Abstract
Base deficit and blood glucose were measured in 36 laboring women in whom metabolic acidosis was clinically suspected. Of 15 parturients, 11 showed presumptive evidence of lactacidemia, two ketoacidemia, and two a combination of both. Differential diagnosis is important since therapy differs: ketoacidosis is treated with intravenous glucose, lactacidosis is treated with continuous segmental extradural block.
摘要
对36名临床怀疑有代谢性酸中毒的待产妇女测量了碱缺失和血糖。在15名产妇中，11名显示有乳酸性血症的推测证据，2名有酮血症，2名两者皆有。鉴别诊断很重要，因为治疗方法不同：酮症酸中毒用静脉注射葡萄糖治疗，乳酸性酸中毒用连续节段性硬膜外阻滞治疗。
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