碱剩余判断代谢性酸碱平衡紊乱的研究进展

李盛波; 魏捷; 陈伟; 夏文芳; 王常永

doi:10.13201/j.issn.1009-5918.2019.01.017

碱剩余判断代谢性酸碱平衡紊乱的研究进展

- 武汉大学人民医院重症医学科(武汉, 430060)

详细信息

通讯作者: 魏捷,E-mail:weijie996@sina.com

中图分类号: R589.6

收稿日期: 2018-06-22

Progression on estimating metabolic acid-base disorder with base excess

More Information

Corresponding author: WEI Jie, E-mail: weijie996@sina.com

Received Date: 22 June 2018

摘要

- 碱剩余 /
- 代谢性酸碱失衡
Abstract: The acid-base disorder is divided into respiratory and metabolic disorders.Pco 2 is the primary index of acid-base abnormalities caused by respiratory factors.However, the metabolic factors need more complex analytical methods.BE is a simple but effective method for the clinical analysis of non respiratory components of acid-base disorder;the base excess can be used to diagnose metabolic acidosis and to guide liquid resuscitation, but the single index is not sufficient to determine the completeness of the resuscitation.The base excess method also has important guiding significance in predicting the severity and prognosis of the critically ill patients, and it will improve the effectiveness of the base excess method in the assessment of the acid-base status when combined with the anion gap.
- base excess /
- metabolic acid-base disorder

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参考文献(30)

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