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报告了755例危重病人2859例次动脉血气和血电解质测定结果,危重病患者酸碱失衡及血电解质紊乱是极常见的。2859例次血气分析中2768例次(96.8%)伴有不同类型的酸碱失衡,其中呼碱最常见,其它依次为呼酸、三重酸碱失衡、呼碱代酸、呼碱代碱、代酸和呼酸代酸等。2768例次酸碱失衡中,单纯性酸碱紊乱1283例次(46.4%),二重酸碱失衡1090例次(39.4%)和三重酸碱失衡395例次(14.2%)。通常,原发疾病引起呼碱或呼酸,随着病情的发展或不适当治疗引起代碱,严重的低氧血症、肾功能障碍和休克可引起代酸。治疗原则为,救治原发疾病为基础,正确判断为先导,从纠正原发失衡着手,维持水电解质平衡,均使pH尽快恢复正常至关重要。只有当pH>7.50或<7.10时,才考虑适当给予酸性或碱性药物。
A report of 2859 secondary arterial blood gases and blood electrolytes was obtained from 755 critically ill patients. Acid-base imbalance and electrolyte imbalance in critically ill patients are extremely common. 2859 cases of blood gas analysis of 2768 cases (96.8%) associated with different types of acid-base imbalance, of which the most common call for the base, the other followed by sour, triple acid-base imbalance, alkalosis acid, alkali alkali , Acid and call acid acid. Among 2768 cases of acid-base imbalance, 1283 cases (46.4%) of simple acid-base disorders, 1090 cases (39.4%) of triple acid-base imbalance and 395 cases (14.2% ). Often, the primary disease causes arousal or soreness, which can result in generation of caustic, severe hypoxemia, renal dysfunction and shock as the condition develops or is not treated properly. The principle of treatment is based on the treatment of primary disease, the correct judgments as a precursor, starting from the correct primary imbalance, maintain the balance of water and electrolyte, make the pH back to normal as soon as possible is essential. Only when pH> 7.50 or <7.10, consider appropriate to give acidic or alkaline drugs.