完善三重酸碱失衡判断方法  

Consummation of the method of judging triple acid-base disturbance

作　　者：周寿生[1] 

机构地区：[1]昆明市妇幼保健院急诊科,云南650031

出　　处：《临床肺科杂志》2009年第1期39-40,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析目前临床上在三重酸碱失衡判断中存在的问题,完善判断方法。方法采用归拿整理的方式,将作者最近提出的各种酸碱失衡判断方法及公式相结合,用于三重酸碱失衡的判断。结果新的判断方法简单实用,可准确地判断三重酸碱失衡。结论三重酸碱失衡中的代碱及高AG代酸,原判断方法选用不当,本该用作高AG代酸判断的潜在HCO3-概念,被用在了代碱的补充判断上,使两者都存在误判现象,判断方法需要改进。Objective To analyze some problems in judging triple acid-base disturbance in clinical at present, and to consummate the method of judging triple acid-base disturbance. Methods By inducing and coordinating various methods of judging acid-base disturbance that the author proposed, some formulas of judging acid-base disturbance were integrated and used in the study. Results The new method of judging triple acid-base disturbance was simple, useful and exact. Conclusion The old judgments of metabolic alkalosis and metabolic acidosis in high AG of triple acid - base disturbance is inaccurate. In old methods potential bicarbonate （ HCO_3^-） is used to judging metabolic alkalosis, but in fact it should be used to judging metabolic acidosis in high AG. So these two judgments are confusing and should be improved.

关 键 词：三重酸碱失衡 判断方法 临床治疗 高AG代酸 

分 类 号：R589[医药卫生—内分泌]