Jabor A, Kazda A
Department of Clinical Biochemistry, Hospital Kladno, Czech Republic.
Acta Anaesthesiol Scand Suppl. 1995;107:119-22. doi: 10.1111/j.1399-6576.1995.tb04345.x.
A quantitative evaluation of metabolic acid-base component is described. The model is based on Stewart's analysis of acid-base chemistry. The metabolic component of acid-base disturbances is divided into four partial metabolic disorders; they can result from abnormal concentrations of chloride, albumin and phosphate disturbances, or from appearance of abnormal unidentified strong anions. The efficiency of the model is sufficient, quantitative partial results are given in the same units as base excess. In complex acid-base disturbances, such as are seen in critically ill patients, a detailed analysis of the specific components of the metabolic acid-base status allows one to plan specific therapeutic interventions.
本文描述了一种代谢性酸碱成分的定量评估方法。该模型基于斯图尔特对酸碱化学的分析。酸碱紊乱的代谢成分分为四种部分代谢紊乱；它们可能源于氯离子、白蛋白和磷酸盐浓度异常或异常未识别强阴离子的出现。该模型的效率足够高，定量部分结果以与碱剩余相同的单位给出。在复杂的酸碱紊乱中，如在危重症患者中所见，对代谢性酸碱状态的特定成分进行详细分析有助于制定具体的治疗干预措施。
