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在心肺复苏的过程中,纠正体内水、电解质和酸碱平衡出现的严重紊乱,是抢救工作中的主要环节之一。常见的水、电解质和酸碱平衡紊乱有以下几种:一、酸中毒心脏骤停后的酸中毒均属于混合性酸中毒,心脏骤停一经诊断,在进行心脏按摩和人工呼吸的同时,必须补充碱性药物,一般5%碳酸氢钠首剂按1mEq/kg计算,在有效循环恢复之前,每10分钟给以首剂之半量维持,对高血钾或奎尼丁过量所致的心脏骤停,则应选用乳酸钠,首剂按1～1.5mEq/kg 计算,以后按需要补给,用量根据动脉血气分析中剩余碱(BE)值,参照下列公式:
In the process of cardiopulmonary resuscitation, to correct the body of water, electrolytes and acid-base balance serious disorder is one of the main aspects of the rescue work. Common water, electrolyte and acid-base balance disorders are the following: First, acidosis After cardiac arrest acidosis are mixed acidosis, cardiac arrest, once diagnosed during cardiac massage and artificial respiration, it must be Add basic drugs, the general 5% sodium bicarbonate first dose calculated according to 1mEq / kg, before the effective cycle recovery, to give the first half of the amount of every 10 minutes to maintain the hyperkalemia or quinidine excessive cardiac arrest Stop, you should use sodium lactate, the first dose of 1 ~ 1.5mEq / kg basis, after the required supply, the amount of arterial blood gas analysis based on the remaining base (BE) values, refer to the following formula: