澶栫涓绘不閱�(y墨)甯熀绀�(ch菙)鐭ヨ瓨(sh铆)鐪熼鑰冮粸(di菐n)鍖附


澶栫涓绘不閱�(y墨)甯熀绀�(ch菙)鐭ヨ瓨(sh铆)鐪熼鑰冮粸(di菐n)鍖附
1銆侀噸搴︿綆婊叉€х己姘寸殑瑁�(b菙)閳夋不鐧�锛岄閬�5%姘寲閳夋憾娑�(楂樻徊姘寲閳夋憾娑�)銆�
2銆侀珮婊叉€х己姘存檪(sh铆)楂旀恫婊查€忓鐨勬敼璁婄壒榛�(di菐n)鏄け姘村浜庡け閳�锛岀窗(x矛)鑳炲娑叉徊閫忓鍗囬珮銆�
3銆佷綆婊叉€х己姘存檪(sh铆)楂旀恫婊查€忓鐨勬敼璁婄壒榛�(di菐n)鏄け閳夊浜庡け姘�锛岀窗(x矛)鑳炲娑叉徊閫忓闄嶄綆銆�
绛夋徊鎬х己姘寸殑涓昏鐥呯悊鍩虹(ch菙)鏄� 绱�(x矛)鑳炲娑查噺椹熸笡銆�
浣庢徊鎬х己姘磋(b菙)鍏呴垑楣界殑瑷�(j矛)绠楀叕寮� 闇€瑁�(b菙)閳夐噺(mmol)=[142mmol/L-琛€閳夋脯(c猫)寰楀€�(mmol/L)]×楂旈噸(kg)×0.6(濂虫€�0.5)銆�
杓曞害浣庢徊鎬х己姘寸殑琛€娓呴垑婵冨害鍦� 135mmol/L浠ヤ笅銆�
涓害浣庢徊鎬х己姘寸殑琛€娓呴垑婵冨害鍦� 130mmol/L浠ヤ笅銆�
閲嶅害浣庢徊鎬х己姘寸殑琛€娓呴垑婵冨害鍦� 120mmol/L浠ヤ笅銆�
杓曞害楂樻徊鎬х己姘寸己姘撮噺鍗犻珨閲嶇殑 2%锝�4%銆�
涓害楂樻徊鎬х己姘寸己姘撮噺鍗犻珨閲嶇殑 4%锝�6%銆�
閲嶅害楂樻徊鎬х己姘寸己姘撮噺鍗犻珨閲嶇殑 >6%銆�
绛夋徊鎬х己姘寸梾浜�锛岃嫢闈滆剤澶ч噺杓稿叆绛夋徊楣芥按鍙皫(d菐o)鑷� 琛€姘亷(gu貌)楂樸€�
浣庢徊鎬х己姘村紩璧烽珨娑插閲忕殑璁婂寲鐐� 琛€婕�銆佺祫绻旈枔娑层€佺窗(x矛)鑳炲収(n猫i)娑查兘娓涘皯锛屼互绲勭箶闁撴恫娓涘皯鐐轰富銆�
绛夋徊鎬х己姘村紩璧烽珨娑插閲忕殑璁婂寲鐐� 琛€婕裤€佺祫绻旈枔娑�銆佺窗(x矛)鑳炲収(n猫i)娑查兘娓涘皯锛屼互琛€婕挎笡灏戠偤涓�銆�
4銆侀墍鍦ㄦ(j墨)楂旂殑鍚噺鍙婂垎甯冪壒榛�(di菐n)鏄(j墨)楂斿惈閴€绺介噺140~150g锛�98%瀛樺湪浜庣窗(x矛)鑳炲収(n猫i)娑�锛岃倢鑲夌祫绻斿惈K+绱�70%銆�
闈滆剤瑁�(b菙)鍏呴墍楣界殑杓稿叆閴€閲忕殑閫熷害鎳�(y墨ng)鎺у埗鍦� 锕�20mmol/L銆�
闈滆剤瑁�(b菙)鍏呴墍楣界殑杓稿叆K+鐨勬績搴︽噳(y墨ng)鎺у埗鍦� 锕�40mmol/L銆�
鐥呬汉浼戝厠鏅�(sh铆)鑻ヨ(b菙)閴€锛屾瘡灏忔檪(sh铆)灏块噺蹇呴爤瓒呴亷(gu貌) 40mmol/L銆�
婧Θ鎻愮ず锛�閬垮厤鎮ㄩ尟(cu貌)閬�(gu貌)2022骞村绉戜富娌婚啱(y墨)甯€冭│?y谩n)U璨�(f猫i)銆佹簴(zh菙n)鑰冭瓑鎵撳嵃銆佽€冭│鏅�(sh铆)闁撶瓑閲嶈鑰冭│鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)锛岀挵(hu谩n)鐞冪恫(w菐ng)鏍℃彁渚� 鍏嶈不(f猫i)闋�(y霉)绱勭煭淇℃彁閱�鍔熻兘锛屽眴鏅�(sh铆)灏辨渻(hu矛)鎻愬墠鍏嶈不(f猫i)鐛插彇鑰冭│鏅�(sh铆)闁撶瘈(ji茅)榛�(di菐n)淇℃伅鍝�锛屼笉瑕佸繕瑷橀爯(y霉)绱勫摝銆�
5銆佺窗(x矛)鑳炲娑蹭腑鏈€閲嶈鐨勯櫧(y谩ng)闆㈠瓙鏄垑闆㈠瓙銆�
閲嶅害缂洪垑瑁�(b菙)娑叉檪(sh铆)鎳�(y墨ng)棣栭伕 2/3鐨�5%姘寲閳夊姞1/3鐨勭敓鐞嗛菇姘淬€�
鍑虹従(xi脿n)鑲岀棛鏀f€ф娊鎼�锛岃倢鑵卞弽灏勬笡寮辨垨娑堝け鐨勭柧鐥呮槸浣庢徊鎬х己姘�銆�
灏�(du矛)浼存湁閰镐腑姣掓垨鍘熸湁鑲濆姛鑳芥悕瀹崇殑浣庨墍鐥呬汉锛岃(b菙)閴€鍙敤璋锋皑閰搁墍銆�
浠ヨ倢鐒�(w煤)鍔涚偤鏈€鏃╄嚚搴婅〃鐝�(xi脿n)鐨勭柧鐥呮槸浣庨墍琛€鐧�銆�
琛€娓呴墍澧為珮鍑虹従(xi脿n)杌熺櫛鐨勯爢搴忔槸鍥涜偄鑲�→杌€骞茶倢→鍛煎惛鑲屻€�
鍫夸腑姣掓檪(sh铆)锛屾噳(y墨ng)鍏堣€冩叜瑁�(b菙)鍏呴墍銆�
6銆侀珮閳h鐧ユ渶鏈夋晥鐨勬不鐧傛帾鏂芥槸鍙婃檪(sh铆)鏈夋晥鐨勬不鐧傚師鐧�(f膩)鐥�銆�
姗�(j墨)楂斿収(n猫i)閳g殑鍎�(ch菙)瀛樺舰寮忔槸 纰抽吀閳e拰纾烽吀閳�銆�
楂橀垼琛€鐧ョ殑鐥呭洜涓紝鏈€甯歌(ji脿n)鐨勬槸 鐢茬媭鏃佽吅鍔熻兘浜㈤€�(j矛n)銆�
楂橀垼琛€鐧ユ渶鏈夋晥鐨勬不鐧傛帾鏂芥槸 鍙婃檪(sh铆)鏈夋晥鍦版不鐧傚師鐧�(f膩)鐤剧梾銆�
7銆侀珨娑查吀鍫垮害鐨勬甯歌寖鍦嶅湪 7.35锝�7.45銆�
浠h瑵鎬у牽涓瘨鏄寚琛€婕縖HCO3-]鍘熺櫦(f膩)鎬у澶氫娇pH澧為珮锛孊E鍛堟鍊肩殑鎯呮硜銆�
鍛煎惛鎬у牽涓瘨鏄寚琛€婕縖HCO3-]鍘熺櫦(f膩)鎬ф笡灏戜娇pH澧為珮锛孭aCO2闄嶄綆鐨勬儏娉�銆�
娌荤檪鍛煎惛鎬у牽涓瘨甯哥敤 绌嶆サ铏曠悊鍘熺櫦(f膩)鐥�銆�
鑷ㄥ簥涓婃渶甯歌(ji脿n)鐨勯吀鍫垮け琛℃槸浠h瑵鎬ч吀涓瘨銆�
瑷烘柗浠h瑵鎬ч吀涓瘨鐨勪富瑕佷緷鎿�(j霉)鍛煎惛娣辫€屽揩锛屾湁閰懗锛岃婕跨⒊閰告矮鏍瑰€间笅闄�銆�
8銆佷汉楂旂殑琛€瀹归噺绱勫崰鍏ㄨ韩楂旈噸鐨� 7%~8%;绱�(x矛)鑳炲娑插崰 20%銆�
瑭�(p铆ng)浼拌(sh霉)鍚庢恫楂斿钩琛�锛屾渶绨�(ji菐n)鍠殑鏂规硶鏄脯(c猫)閲忓翱閲�銆�
9銆佷紤鍏嬫不鐧備腑浼拌▓(j矛)寰惊鐠�(hu谩n)鏁堣兘鐨勬渶鍙潬鎸囨(bi膩o)鏄� 灏块噺銆�
浼戝厠鐥呬汉瑁�(b菙)娑�銆佽几琛€閫熷害鍜屾暩(sh霉)閲忚純鍙潬鐨勬牴鎿�(j霉)鏄� 灏块噺鍜屼腑蹇冮潨鑴堝娓�(c猫)瀹氱祼(ji茅)鏋�銆�
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灏�(du矛)鐧�(f膩)鐔辩殑鐥呬汉锛岄珨婧瘡鍗囬珮1鈩冿紝瑁�(b菙)娑查噺瀹滃鍔� 3~5ml/Kg銆�
鐣�(d膩ng)鐥呬汉鍑虹従(xi脿n)琛€瀹归噺涓嶈冻鐨勭殑鐧ョ媭鏅�(sh铆)锛岃(shu艒)鏄庡湪鐭湡鍏�(n猫i)楂旀恫?ji菐n)閫傂卞牥_(d谩)鍒伴珨閲嶇殑 5%銆�
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