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酸碱平衡紊乱的临床诊断方法

Clinical approach to the diagnosis of acid-base disorders.

作者信息

Bear R A, Dyck R F

出版信息

Can Med Assoc J. 1979 Jan 20;120(2):173-82.

Abstract

An ability to rapidly and effectively diagnose and treat acid-base disorders is essential to the management of seriously ill patients. In this paper an approach to the diagnosis of pure and mixed acid-base disorders is presented that is based upon an understanding of the bicarbonate buffer system and a knowledge of the well defined and predictable compensatory responses that occur in association with each of the primary acid-base disorders. With this approach a number of acid-base problems are presented and solved.

摘要

迅速有效地诊断和治疗酸碱紊乱的能力对于重症患者的管理至关重要。本文提出了一种诊断单纯性和混合性酸碱紊乱的方法,该方法基于对碳酸氢盐缓冲系统的理解以及对与每种原发性酸碱紊乱相关的明确且可预测的代偿反应的认识。通过这种方法,展示并解决了一些酸碱问题。

本文引用的文献

1
RAPID ESTIMATION OF PLASMA CARBON DIOXIDE TENSION FROM PH AND TOTAL CARBON DIOXIDE CONTENT.
N Engl J Med. 1965 May 20;272:1067-8. doi: 10.1056/NEJM196505202722007.
9
The respiratory response to chronic metabolic alkalosis and acidosis in disease.
Clin Sci Mol Med. 1973 Oct;45(4):439-48. doi: 10.1042/cs0450439.

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