合并呕吐COPD过度通气Р呼吸性酸中毒伴代谢性碱中毒?pH?正常?HCO3-?↑?PaCO2?↑ COPD应用利尿剂, 呕吐NG吸引严重低钾血症Р呼吸性碱中毒伴代谢性酸中毒?pH?正常?HCO3-?↓?PaCO2?↓全身性感染水杨酸中毒肾功能衰竭伴CHF或肺炎晚期肝脏疾病Р代谢性酸中毒伴代谢性碱中毒?pH?正常?HCO3-?正常尿毒症或酮症酸中毒伴呕吐,?NG吸引, 利尿剂等Р[ 建议阅读文献]??Rose, B.D. and T.W. Post. Clinical physiology of acid-base and electrolyte disorders, 5th ed. New York: McGraw Hill Medical Publishing Division, c2001Fidkowski, C And J. Helstrom. Diagnosing metabolic acidosis in the critically ill: bridging the anion gap, Stewart and base excess methods. Can J Anesth 2009;56:247-256Adrogué, H.J. and N.E. Madias. Management of life-threatening acid-base disorders?first of two parts. N Engl J Med 1998;338:26-34Adrogué, H.J. and N.E. Madias. Management of life-threatening acid-base disorders?second of two parts. N Engl J Med 1998;338:107-111.Р病例1Р以下两张图片很重要!Р病例2
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