{"id":536,"date":"2024-01-04T08:44:51","date_gmt":"2024-01-04T00:44:51","guid":{"rendered":"https:\/\/www.scipmed.cn\/?p=536"},"modified":"2024-01-09T13:59:56","modified_gmt":"2024-01-09T05:59:56","slug":"%e6%a1%88%e4%be%8b%e5%88%86%e6%9e%90%e9%85%b8%e7%a2%b1%e5%b9%b3%e8%a1%a1%e5%a4%b1%e8%b0%83","status":"publish","type":"post","link":"https:\/\/cspmmed.com\/?p=536","title":{"rendered":"\u6848\u4f8b\u5206\u6790|\u9178\u78b1\u5e73\u8861\u5931\u8c03"},"content":{"rendered":"\n<p>\u4f5c\u8005\uff1a\u5434\u6ee1\u8f89\u00a0 \u70b9\u8bc4\u4e13\u5bb6\uff1a\u848b\u9f99\u5143\u00a0<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"360\" src=\"https:\/\/cspmmed.com\/wp-content\/uploads\/2024\/01\/\u9178\u78b1\u5e73\u8861\u5931\u8c03.jpg\" alt=\"\" class=\"wp-image-538\" style=\"object-fit:cover\" srcset=\"https:\/\/cspmmed.com\/wp-content\/uploads\/2024\/01\/\u9178\u78b1\u5e73\u8861\u5931\u8c03.jpg 600w, https:\/\/cspmmed.com\/wp-content\/uploads\/2024\/01\/\u9178\u78b1\u5e73\u8861\u5931\u8c03-300x180.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" 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36.2\u2103\uff0cP 140\u6b21\/\u5206\uff0cR 30\u6b21\/\u5206\uff0cBP 105\/53mmHg\u3002\u547c\u5438\u6df1\u5feb\uff0c\u660f\u7761\uff0c\u5168\u8eab\u76ae\u80a4\u9ecf\u819c\u5e72\u71e5\uff0c\u56db\u80a2\u672b\u68a2\u76ae\u80a4\u7a0d\u51c9\uff0c\u76ae\u80a4\u6e7f\u5ea6\u6b63\u5e38\u3002\u53cc\u77b3\u7b49\u5927\u3001\u7b49\u5706\uff0cD=3mm\uff0c\u5149\u53cd\u5e94\u7075\u654f\u3002\u9f3b\u5507\u6c9f\u5bf9\u79f0\uff0c\u4f38\u820c\u5c45\u4e2d\u3002\u9888\u8f6f\uff0c\u9888\u90e8\u65e0\u62b5\u6297\u3002\u53cc\u80ba\u547c\u5438\u97f3\u6e05\uff0c\u65e0\u5570\u97f3\u3002HR 140bpm\uff0c\u5f8b\u9f50\uff0c\u5fc3\u97f3\u6709\u529b\u3002\u8179\u90e8\u672a\u89c1\u5f02\u5e38\u3002\u56db\u80a2\u808c\u5f20\u529b\u6b63\u5e38\uff0c\u75bc\u75db\u523a\u6fc0\u6709\u9003\u907f\u53cd\u5e94\uff0c\u751f\u7406\u53cd\u5c04\u5b58\u5728\uff0c\u75c5\u7406\u53cd\u5c04\u672a\u5f15\u51fa\u3002<\/p>\n\n\n\n<p><strong>\u8f85\u52a9\u68c0\u67e5<\/strong><\/p>\n\n\n\n<p>\u8840\u5e38\u89c4\uff1a\u767d\u7ec6\u80de14.9\u00d710<sup>9<\/sup>\/L\uff0c\u4e2d\u6027\u7c92\u7ec6\u80de83.5%\uff0cHb145g\/L\uff0c\u8840\u5c0f\u677f 265\u00d710<sup>9<\/sup>\/L\u3002<\/p>\n\n\n\n<p>\u8840\u6e05\u964d\u9499\u7d20\u539f\uff1a1.0\u03bcg\/L\u3002<\/p>\n\n\n\n<p>\u6025\u8bca\u751f\u5316\uff1a\u94be6.9mmol\/L\uff0c\u94a0145mmol\/L\uff0c\u6c2f97mmol\/L\uff0c\u94992.05mmol\/L\uff0c\u5c3f\u7d20\u6c2e17mmol\/L\u3002\u808c\u9150150\u03bcmmol\/L\uff0c\u8461\u8404\u7cd645.3mmol\/L\uff0c\u8840\u6e05\u916e\u4f53 6.5mmol\/L\u3002<\/p>\n\n\n\n<p>\u5c3f\u68c0B\uff1a\u5c3f\u6bd4\u91cd1.021\uff0c\u86cb\u767d\uff08-\uff09\uff0c\u7ea2\u7ec6\u80de3\u4e2a\/ul\uff0c\u767d\u7ec6\u80de0\u4e2a\/ul\u3002<\/p>\n\n\n\n<p>\u51dd\u8840\u5e38\u89c4\uff1aPT 14s\uff0cAPTT 32s\uff0c\u7ea4\u7ef4\u86cb\u767d\u539f 3.57g\/L\uff0cD\u4e8c\u805a\u4f53 0.8ng\/L\u3002<\/p>\n\n\n\n<p>\u8840\u6c14\u5206\u6790\uff1aPH 7.021\uff0cPaCO<sub>2<\/sub>&nbsp;30mmHg\uff0cPaO<sub>2<\/sub>&nbsp;102mmHg\uff0c\u78b3\u9178\u6c22\u68395 mmol\/L\uff0c\u78b1\u5269\u4f59 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36.5\u2103\uff0cP 90\u6b21\/\u5206\uff0cR \u547c\u543816\u6b21\/\u5206\uff0cBP 125\/73mmHg\u3002\u795e\u6e05\uff0c\u76ae\u80a4\u6e29\u5ea6\u6e7f\u5ea6\u6b63\u5e38\u3002\u5fc3\u80ba\u672a\u89c1\u5f02\u5e38\u3002<\/p>\n\n\n\n<p>\u8f85\u52a9\u68c0\u67e5\uff1a\u8840\u5e38\u89c4\uff1a\u767d\u7ec6\u80de9.8\u00d710<sup>9<\/sup>\/L\uff0c\u4e2d\u6027\u7c92\u7ec6\u80de78.5%\uff0cHb118g\/L\uff0c\u8840\u5c0f\u677f 186\u00d710<sup>9<\/sup>\/L\u3002\u6025\u8bca\u751f\u5316\uff1a\u94be4.9mmol\/L\uff0c\u94a0141mmol\/L\uff0c\u6c2f93mmol\/L\uff0c\u94991.97mmol\/L\uff0c\u5c3f\u7d20\u6c2e6.8mmol\/L\u3002\u808c\u9150123\u03bcmmol\/L\uff0c\u8461\u8404\u7cd612.1mmol\/L\uff0c\u8840\u6e05\u916e\u4f53 0.8mmol\/L\u3002\u8840\u6c14\u5206\u6790\uff1aPH 7.355\uff0cPaCO<sub>2<\/sub>&nbsp;&nbsp;42mmHg\uff0cPaO<sub>2<\/sub>&nbsp;&nbsp;113mmHg\uff0c\u78b3\u9178\u6c22\u683918mmol\/L\uff0c\u78b1\u5269\u4f59 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pH \u6b63\u5e38\u52a8\u8109\u8840pH\u4e3a7.35\uff5e7.45,\u53d7\u547c\u5438\u548c\u4ee3\u8c22\u7684\u5f71\u54cd\u3002pH 7.35\uff5e7.45\u67093\u79cd\u53ef\u80fd\uff1a\u2460\u9178\u78b1\u5e73\u8861\u6b63\u5e38;\u2461\u5904\u4e8e\u4ee3\u507f\u671f\u7684\u9178\u78b1\u5e73\u8861\u5931\u5e38;\u2462\u6df7\u5408\u578b\u9178\u78b1\u5e73\u8861\u5931\u5e38\uff1bpH &gt;7.45\u8868\u793a\u78b1\u4e2d\u6bd2\uff1bpH &lt;7.35\u8868\u793a\u9178\u4e2d\u6bd2\u3002<\/p>\n\n\n\n<p>2. \u4e8c\u6c27\u5316\u78b3\u5206\u538b\uff08PaC0<sub>2<\/sub>)\uff09\u4e3a\u6eb6\u89e3\u4e8e\u52a8\u8109\u8840\u4e2d\u7684C0<sub>2<\/sub>\u6240\u4ea7\u751f\u7684\u538b\u529b\u3002\u6b63\u5e38\u52a8\u8109\u8840\u4e3a 35\uff5e45mmHg\uff0c\u53cd\u6620\u80ba\u6ce1\u4e2d\u7684C0<sub>2<\/sub>&nbsp;\u6d53\u5ea6\uff0c\u662f\u4ee3\u8868\u547c\u5438\u6027\u9178\u78b1\u5e73\u8861\u7684\u4e3b\u8981\u6307\u6807\u3002\u589e\u9ad9\u8868\u793a\u901a\u6c14\u4e0d\u8db3\uff0c\u4e3a\u547c\u5438\u6027\u9178\u4e2d\u6bd2\uff1b\u964d\u4f4e\u8868\u793a\u6362\u6c14\u8fc7\u5ea6\uff0c\u5c5e\u547c\u5438\u6027\u78b1\u4e2d\u6bd2\u3002\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2\u65f6PaC0<sub>2<\/sub><sub><\/sub>\u4ee3\u507f\u6027\u964d\u4f4e\uff0c\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u65f6\u53ef\u4ee3\u507f\u6027\u5347\u9ad8\u3002<\/p>\n\n\n\n<p>3 . 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AB=SB\uff0c\u63d0\u793a\u5931\u4ee3\u507f\u7684\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2\uff1bAB&lt;SB\u5219\u53ef\u80fd\u4e3a\u4ee3\u507f\u540e\u7684\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2\u6216\u4ee3\u507f\u540e\u7684\u547c\u5438\u6027\u78b1\u4e2d\u6bd2\uff0c\u4e5f\u53ef\u80fd\u4e3a\u4ee3\u8c22\u6027\u9178\u4e2d\u6bd2\u548c\u547c\u5438\u6027\u78b1\u4e2d\u6bd2\u5e76\u5b58\u3002AB\u4e0eSB\u5747\u9ad8\uff0cAB=SB\uff0c\u63d0\u793a\u5931\u4ee3\u507f\u7684\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\uff1bAB&gt;SB\u5219\u53ef\u80fd\u4e3a\u4ee3\u507f\u540e\u7684\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u6216\u4ee3\u507f\u540e\u7684\u547c\u5438\u6027\u9178\u4e2d\u6bd2\uff0c\u4e5f\u53ef\u80fd\u4e3a\u4ee3\u8c22\u6027\u78b1\u4e2d\u6bd2\u5408\u5e76\u547c\u5438\u6027\u9178\u4e2d\u6bd2\u3002<\/p>\n\n\n\n<p>5. \u78b1\u5269\u4f59 \uff08BE\uff09\u6b63\u5e38\u503c \u4e3a 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