​1.鑴傛憾鎬ч珮鍜屽垎瀛愰噺灏忕殑鐗╄唱(zh矛)(濡� O2銆丆O2銆丯2銆佷箼閱囥€佸翱绱�銆侀鍥洪唶婵€绱�銆佺敇娌瑰拰姘村垎瀛愮瓑)寰炶啘鐨勯珮婵冨害涓€鍋�(c猫)鍚戜綆婵冨害涓€鍋�(c猫)璺ㄨ啘閬嬪嫊绋辩偤鍠磾鎿存暎銆�

2.鏄撳寲鎿存暎鏄寚甯堕浕闆㈠瓙鍜屾按婧舵€у垎瀛愬湪鑶滆泲鐧界殑浠嬪皫涓�锛岄爢婵冨害姊害鎴栭浕浣嶆搴﹂€茶鐨勮法鑶滆綁(zhu菐n)閬嬶紝涓嶉渶瑕佹秷鑰楄兘閲�銆傚垎鐐虹稉(j墨ng)杓夐珨铔嬬櫧鐨勬槗鍖栨摯鏁�(钁¤悇绯�銆佹皑鍩洪吀銆佹牳鑻烽吀鐨勮綁(zhu菐n)閬嬫柟寮�)鍜岀稉(j墨ng)閫氶亾铔嬬櫧鐨勬槗鍖栨摯鏁�(Na+銆丆l-銆丆a2+銆並+鐨勮綁(zhu菐n)閬嬫柟寮�)銆�

3.涓诲嫊杞�(zhu菐n)閬嬫槸鐢遍洟瀛愭车鍜岃綁(zhu菐n)閬嬮珨鑶滆泲鐧戒粙灏庣殑娑堣€楄兘閲�銆侀€嗘績搴︽搴﹀拰/鎴栭浕浣嶆搴︾殑璺ㄨ啘杞�(zhu菐n)閬�锛屽垎鐐哄師鐧�(f膩)鎬т富鍕曡綁(zhu菐n)閬媅濡傞垑娉�(Na+,K+-ATP 閰�)杞�(zhu菐n)

閬媇鍜岀辜鐧�(f膩)鎬т富鍕曡綁(zhu菐n)閬�(濡傝憽钀勭硸鍦ㄥ皬鑵搁粡鑶滅殑閲嶅惛鏀�锛孨a+-H+浜ゆ彌鍜� Na+-Ca2+浜ゆ彌)銆�

4.闈滄伅闆讳綅涓昏鏄� K+鐨勫钩琛￠浕浣嶏紝鐢� K+澶栨祦鐢�(ch菐n)鐢�;鍕曚綔闆讳綅鐨勫幓妤电浉鏄寚 Na+鐨勫钩琛￠浕浣嶏紝鐢� Na+鍏�(n猫i)娴佺敘(ch菐n)鐢�銆�

5.绁炵稉(j墨ng)-楠ㄩ鑲屾帴闋檿鐨勮垐濂偝閬炰腑绐佽Ц灏忔场閲嬫斁鐨勯仦璩�(zh矛)鏄箼閰拌喗鍫�銆傞楠艰倢绱拌優鐨勮垐濂�-鏀剁府鑰﹁伅(li谩n)鍥犲瓙鏄疌a2+銆�

6.绱呯窗鑳炲叿鏈夊彲濉戣畩褰㈡€�銆佹嚫娴┅(w臎n)瀹氭€у拰婊查€忚剢鎬с€傜磪绱拌優鎳告诞绌�(w臎n)瀹氭€х殑瑭曞児鎸囨鏄磪绱拌優娌夐檷鐜�(琛€娌�)锛岃嫢绱呯窗鑳炵枈閫ｅ姞閫燂紝鍓囪娌夊姞蹇�锛屽嵆鎳告诞绌�(w臎n)瀹氭€у樊銆�

7.绱呯窗鑳炵殑涓昏鍔熻兘鏄亱杓� O2鍜� CO2;浜洪珨鍚堟垚琛€绱呰泲鐧界殑閲嶈鍘熸枡鏄惖鍜岃泲鐧借唱(zh矛);绱呯窗鑳炴垚鐔熸墍蹇呴渶鐨勭墿璩�(zh矛)鏄憠閰稿拰缍敓绱� B12;姗熼珨绱呯窗鑳炵敓鎴愮殑涓昏瑾�(di脿o)绡€(ji茅)鐗╄唱(zh矛)鏄� EPO銆�

8.涓€х矑绱拌優鍜屽柈鏍哥窗鑳炲叿鏈夊悶鍣窗鑿�锛屾竻闄ょ暟鐗┿€佽“鑰佺磪绱拌優鍜屾姉鍘�-鎶楅珨寰╁悎鐗╃殑鍔熻兘銆�

9.琛€灏忔澘涓昏鍙冭垏鐢熺悊鎬ф琛€;琛€灏忔澘鐨勭敓鐞嗙壒鎬у寘鎷粡闄勩€侀噵鏀�銆佽仛闆�銆佹敹绺€佸惛闄�銆傜敓鐞嗘€ф琛€鐨勪笁鍊嬮亷绋嬬偤琛€绠℃敹绺�銆佽灏忔澘琛€鏍撳舰鎴愬拰琛€娑插嚌鍥恒€傚嚌琛€閬庣▼鐨勪笁鍊嬪熀鏈椹熺偤鍑濊閰跺師寰╂椿鐗╃殑褰㈡垚→鍑濊閰跺師鐨勬縺娲�→绾栫董铔嬬櫧鐨勭敓鎴�銆�

10.楂斿収(n猫i)鐨勭敓鐞嗘€ф姉鍑濈墿璩�(zh矛)鍙垎鐐虹挡姘ㄩ吀铔嬬櫧閰舵姂鍒剁墿(鏈€閲嶈鐨勬槸鎶楀嚌琛€閰垛參)銆佽泲鐧借唱(zh矛) C 绯荤当(t菕ng)銆佺祫绻斿洜瀛愰€斿緫鎶戝埗鐗�(TFPI)鍜岃倽绱�(澧炲挤鎶楀嚌琛€閰垛參鐨勬椿鎬�)鍥涢銆傚暉鍕曞収(n猫i)婧愭€у嚌琛€閫斿緫鐨勭墿璩�(zh矛)鏄叓鍥犲瓙銆�

11.蹇冨鑲岀窗鑳炲嫊浣滈浕浣� 0 鏈熷幓妤靛寲鐨勯洟瀛愭鍒禢a+鍏�(n猫i)娴�;骞宠嚭鏈熷舰鎴愮殑闆㈠瓙姗熷埗鏄� K+澶栨祦鍜� Ca2+ 鍏�(n猫i)娴佸悓鏅傚瓨鍦ㄣ€傜珖鎴跨祼(ji茅)绱拌優 0 鏈熷幓妤靛寲鐨勯洟瀛愭鍒舵槸 Ca2+鍏�(n猫i)娴�銆�

12.蹇冨嫊鍛ㄦ湡涓績鎴�銆佸績瀹�銆佸嫊鑴堝収(n猫i)澹撳姏鐨勬瘮杓冿細

鈶犵瓑瀹规敹绺湡锛氭埧鍏�(n猫i)澹�<瀹ゅ収(n猫i)澹�<鍕曡剤澹�;鈶″皠琛€鏈燂細鎴垮収(n猫i)澹�<瀹ゅ収(n猫i)澹�>鍕曡剤澹�;鈶㈢瓑瀹硅垝寮垫湡锛氭埧鍏�(n猫i)澹�<瀹ゅ収(n猫i)澹�<鍕曡剤澹�;鈶ｅ績瀹ゅ厖鐩堟湡锛氭埧鍏�(n猫i)澹�>瀹ゅ収(n猫i)澹�<鍕曡剤澹�銆�

13.瑭曞畾蹇冭嚐娉佃鍔熻兘鐨勪富瑕佹寚妯欐槸蹇冭嚐鐨勮几鍑洪噺锛屽寘鎷瘡鎼忚几鍑洪噺鍜屾瘡鍒嗛悩蹇冭几鍑洪噺銆�

14.蹇冧氦鎰熺缍�(j墨ng)鑸堝ギ鏅�锛岀瘈(ji茅)鍚庣簴缍湯姊㈤噵鏀惧幓鐢茶厧涓婅吅绱�;蹇冭糠璧扮缍�(j墨ng)鑸堝ギ鏅�锛岀瘈(ji茅)鍚庣簴缍噵鏀鹃仦璩�(zh矛)涔欓叞鑶藉牽(ACh)

15.灏忓姂閲忕殑鑵庝笂鑵虹礌浠ヨ垐濂�β2鑵庝笂鑵虹礌鍙楅珨鐨勬晥鎳夌偤涓�锛屽紩璧烽楠艰倢鍜岃倽鑷熻绠¤垝寮�锛屽ぇ鍔戦噺鐨勮厧涓婅吅绱犲墖寮曡捣楂斿収(n猫i)澶у鏁�(sh霉)琛€绠℃敹绺�銆傞潨鑴堟敞灏勫幓鐢茶厧涓婅吅绱犲彲浣垮叏韬绠″唬娉涙敹绺�锛屽嫊鑴堣澹撳崌楂橈紝鑷ㄥ簥鐢ㄤ綔鍗囧钘ャ€�

16.鐩″姏鍚告埃鍚庯紝寰炶偤鍏�(n猫i)鎵€鑳藉懠鍑虹殑鏈€澶ф埃楂旈噺绋辩偤鑲烘椿閲�锛屾槸鑲哄姛鑳芥脯瀹氱殑甯哥敤鎸囨銆傜敤鍔涜偤娲婚噺鏄寚涓€娆℃渶澶у惛姘ｅ悗锛岀洝鍔涚洝蹇懠姘ｆ墍鑳藉懠鍑虹殑鏈€澶ф埃楂旈噺銆傜 1 绉掔敤鍔涘懠姘ｉ噺鏄嚚搴婂弽鏄犺偤閫氭埃鍔熻兘鏈€甯哥敤鐨勬寚妯�锛岀磩鐐鸿偤娲婚噺鐨� 80%銆�

17.鑳冩恫鐨勪富瑕佹垚鍒嗭細鈶犻菇閰稿拰鍏�(n猫i)鍥犲瓙(鐢卞绱拌優鍒嗘硨);鈶¤儍铔嬬櫧閰跺師(鐢变富绱拌優鍒嗘硨);鈶㈤粡娑插拰 HCO3-(鐢遍粡娑茬窗鑳炲垎娉�)銆侶CO3-鍙繚璀疯儍榛忚啘;鍏�(n猫i)鍥犲瓙鑳借垏缍敓绱� B12绲�(ji茅)鍚�锛屽舰鎴愬京鍚堢墿锛屾槗浜庤鍥炶吀涓诲嫊鍚告敹銆�

18.鑳冮吀鐨勪綔鐢細鈶犳縺娲昏儍铔嬬櫧閰跺師锛屽苟鐐轰箣鎻愪緵閬╁疁鐨勯吀鎬х挵(hu谩n)澧�;鈶℃鑿屼綔鐢�;鈶娇椋熺墿涓殑铔嬬櫧璩�(zh矛)璁婃€�锛屾槗浜庢秷鍖�;鈶ｄ績閫查惖銆侀垼鐨勫惛鏀�;鈶や績閫茶儼娑�銆佸皬鑵告恫鍜岃喗姹佺殑鍒嗘硨銆�

19.鑳冪殑锠曞嫊濮嬩簬鑳冮珨鐨勪腑閮紝浠ヤ竴娉㈡湭骞�銆佷竴娉㈠張璧风殑褰㈠紡锛屾湁绡€(ji茅)寰嬪湴鍚戝菇闁€鏂瑰悜鎺ㄩ€�銆傛瘡鍒嗛悩绱�3 娆�锛屾瘡娆¤爼鍕曠磩闇€ 1min 鍒伴仈骞介杸銆�

20.鈶犻珨婧槸鎸囪韩楂旀繁閮ㄧ殑骞冲潎楂旀韩;浜鸿厠绐╂韩搴︾殑姝ｅ父鍊肩偤 36.0锝�37.4鈩�;鍙ｈ厰鐐� 36.7锝�37.7鈩�;

鐩磋吀鐐� 36.9锝�37.9鈩�銆傗憽鐧�(f膩)鎻珨婧(di脿o)瀹氶粸浣滅敤鐨勯儴浣嶅湪瑕栧墠鍗€(q奴)-涓嬩笜鑵﹀墠閮�(PO/AH);鐣舵甯镐汉涓婧害楂樹簬楂旀韩瑾�(di脿o)瀹氶粸鏅傦紝楂旀韩涓鐨勮(di脿o)绡€(ji茅)浣滅敤鏄檷浣庣敘(ch菐n)鐔�锛屽姞寮锋暎鐔�銆�

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