·¢ÐÅÈË: zippo (ÏðƤÖí), ÐÅÇø:PUMC2001 aAwnkQ$
±ê Ìâ: 98£¬99²¡Éú¿¼Ìâ Fmt5"3B ·¢ÐÅÕ¾: BBS кÍÒ½´óÕ¾(Wed Jun 29 09:41:27 2005) 6}x^T)R 5D-xm$8C ÖйúкÍÒ½¿Æ´óѧҽѧϵ98 ¼¶¡¶²¡ÀíÉúÀíѧ¡·ÆÚÄ©¿¼ÊÔ Zj~tUCc £¨±Õ¾í²¿·Ö£© idPkJf/ Ò».Ãû´Ê½âÊÍ£¨Ã¿Ìâ3 ·Ö£¬¹²12 ·Ö£© {NKDmeg:D 1.acute phase protein RX=C)q2c 2.µÍÊä³öÁ¿ÐÔÐÄË¥ i <bFF03*S 3.ËÀÇ»ÑùÍ¨Æø Puily9# 4.ÒþÐÔ»Æðã 6
N~~:Gt ¶þ.ÅжÏÌ⣨¹²4 ·Ö£ºÃ¿Ìâ´ð¶ÔµÃ0.5 ·Ö£¬²»´ðµÃ0 ·Ö£¬´ð´í¿Û0.5 ·Ö£© u~1[nH: 1.´Ó·¢ÈȵĻúÖÆ·ÖÎö£¬ÎïÀí½µÎÂÓк¦ÎÞÒæ¡£ £¨ £© .4_EaQ;jX 2.µÍѪ¼ØÊ±»úÌåÒ»¶¨È±¼Ø¡£ £¨ £© *FK!^Y 3.¶¯ÂöѪÑõÈÝÁ¿´óÓÚ¾²ÂöѪÑõÈÝÁ¿¡£ £¨ £© $62ospR^Y 4.Äò¶¾Ö¢½ö¼ûÓÚÂýÐÔÉö¹¦Äܲ»È«ÖÕÄ©ÆÚ¡£ £¨ £© SG8|xoL 5.¸ßÉøÐÔȱˮʱ»úÌ嶪ʧµÄÒºÌåÊǵÍÉøµÄ¡£ £¨ £©
@5acTYQ 6.Ö²ÎïÈËÎÞÐèÈ˹¤ºôÎüºÍÈ˹¤Æð²«Òà¿ÉÉú´æ¡£ £¨£© kIrME: 7.ÔÚÎÒ¹úÁÙ´²Êµ¼ùÖÐÄÔËÀÍöÒÑΪÁ¢·¨ÈϿɣ¬¶ø°²ÀÖËÀÔò²»È»¡££¨ £© hKQT, 8.ÐÂÉú¶ù»Æðã¶¼ÊÇÉúÀíÐԵġ£ £¨ £© )3'/g`c G0CmY43 Èý.µ¥Ñ¡Ì⣨ÿÌâ0.5 ·Ö£¬¹²4 ·Ö£© '2uQ 1.pH ½µµÍ¡¢AGÕý³£·´Ó³·¢ÉúÁË£º£¨ £© =6ZZ/+6b A.´úлÐÔ¼îÖж¾ B.ºôÎüÐÔËáÖж¾ C.ºôÎüÐÔ¼îÖж¾ <3O> D.¸ßÂÈѪÐÔ´úлÐÔËáÖж¾ E.Õý³£ÂÈѪÐÔ´úлÐÔËáÖж¾ +7^%fX;3pW 2.µÍ×èÁ¦ÐÍÐÝ¿Ë×î³£¼ûÓÚ£º£¨ £© d01bt$8> A.ʧѪÐÔÐÝ¿Ë B.ÉÕÉËÐÔÐÝ¿Ë C.ÐÄÔ´ÐÔÐÝ¿Ë D.¸ÐȾÐÔÐÝ¿Ë E.´´ÉËÐÔÐÝ¿Ë oq^#mJL 3.¸÷ÖÖÂýÐÔÉö¼²»¼²úÉúÂýÐÔÉö¹¦Äܲ»È«µÄ¹²Í¬·¢²¡»·½ÚÊÇ£º£¨£© A$;U*7TJuO A.ÉöȱѪB.ÉöÖж¾ C.ÉöѪ¹Ü¹£Èû D.Éöµ¥Î»¹ã·ºÆÆ»µ E.ÉöС¹Ü×èÈû +QtK
"5M
4.ÂýÐÔÉö¹¦Äܲ»È«³£ÓгöѪÇãÏò£¬ÔÒòÖ®Ò»ÊÇ£º£¨£© h.sH:]Z A.ÏËάµ°°×Ô¼õÉÙ B.ÄýѪøԼõÉÙ C.ѪС°å¼ÆÊý¼õÉÙ X*]uLgbl D.FDP Éú³É¹ý¶àE.ѪС°åÕ³×ź;ۼ¯¹¦ÄܼõÈõ #If}P
$! 5.ijЩ¸ÎÐÔÄÔ²¡»¼ÕßʹÓÃ×óÐý¶à°ÍµÄÄ¿µÄÊÇ£º£¨ £© HB||'gIC A.½µµÍѪ°± B.ÈëÄÔºóÐγÉÕý³£Éñ¾µÝÖÊ C.´ÙÖ§Á´°±»ùËáÈëÄÔ ]A5FN4 E D.¼õÉÙ·¼Ïã°±»ùËáÈëÄÔ E.´Ù½øÄÔÄÚ°±µÄ·Ö½â´úл pu0IhDMn 6.άÉúËØB1ȱ·¦µ¼ÖÂÐÄË¥µÄ»úÀíÊÇ£º£¨£© 1bYc^(z0 A.ÐÄÔ๩Ñõ²»×㣬´úлÕϰ B.ÐÄÔàȱѪ£¬´úлÕϰ C.ÐÄÔàºó¸ººÉ¹ýÖØ t}c ymX~ D.ÃÖÂþÐÔÐ¡±ä E.Ðļ¡ÉúÎïÑõ»¯¹ý³ÌÕϰ "n}J6 7.Ðļ¡ÏòÐÄÐÔ·Ê´óͨ³£·¢ÉúÓÚ£º£¨ £© rt_%_f>qd A.¸ßѪѹB.¼××´ÏÙ¹¦ÄÜ¿º½ø C.ÊäÒº¹ýÁ¿ D.ÑÏÖØÆ¶Ñª E.¶¯-¾²Âöðü [ZZ~^U5 8.×óÐÄË¥½ßÒýÆðºôÎüÀ§ÄѵĻúÀíÖ÷ÒªÊÇ£º£¨ £© |
bQKymS A.½»¸ÐÐ˷ܺôÎüÖÐÊà B.·ÎÓÙѪˮÖ× C.ȱÑõ·´ÉäÐԴ̼¤ºôÎüÖÐÊà u+&BR1)C D.PaCO2 Éý¸ß¶ÔºôÎüÖÐÊàµÄ´Ì¼¤ E.pH ½µµÍ,H+¶ÔºôÎüÖÐÊàµÄ´Ì¼¤ B~D{p t3y ËÄ.Ìî¿Õ£¨Ã¿¿Õ0.5 ·Ö£¬¹²10 ·Ö£© ]EnB`g(4; 1.ÈËÌåˮƽºâÖ÷ÒªÓÉ________________¼°__________________µ÷½Ú£¬×ÅÑÛÓÚά³Ö FF0N{bY __________________£»¶øÄÆÆ½ºâÔòÖ÷ÒªÊÜ______________µ÷½Ú£¬×ÅÑÛÓÚά³Ö V\W?@V9g- __________________¼°__________________¡£ po4seW! 2.ÄýѪϵͳ¼¤»î×îÖØÒªµÄÉúÀíÐÔÆô¶¯Òò×ÓÊÇ___________£¬¶ø________¶ÔÉúÀíÐÔÄýѪ 2RFYnDN ¹ý³Ì¼¸ºõ²»Æð×÷Óã¬ËüºÍ¼¤ëÄÊÍ·ÅøϵͳµÄÖ÷Òª×÷ÓÃÊÇ____________________ )iNMjg ºÍ____________________¡£ 5k)QjZo 3.Ð¡Çòµ°°×-ATP øµÄͬ¹¤Ã¸ÓÐ______¡¢______¡¢______£¬µ±ÐÄÔàÓÉÓÚÖØ¶È¸ººÉ yAy~|1} תÈëÂýÐÔʧ´ú³¥×´Ì¬Ê±______Ôö¶à¡£ )D{L<.i_ 4.ѪҺÖеĻº³åϵͳÒÔ________________×îÖØÒª£¬µ«Ëü²»ÄÜ»º³å______________¡£ (+`pEDD{X 5.ÒýÆðÐÄÊÒ˳ӦÐÔ½µµÍµÄÖ÷ÒªÔÒòÊÇ________________________________ºÍ£¨»ò£© mKugb_d? __________________________________________________________¡£ B8F.}M-! 6.Ó¦¼¤·´Ó¦ÖÐÖ÷ÒªµÄÉñ¾ÄÚ·ÖÃڸıäΪ__________________________________Öá jVC`38| ºÍ__________________________________________________ÖáÇ¿ÁÒÐË·Ü¡£ 9]< p
>v7fR<(%s ÖйúкÍÒ½¿Æ´óѧҽѧϵ98 ¼¶¡¶²¡ÀíÉúÀíѧ¡·ÆÚÄ©¿¼ÊÔ 9utiev~3 £¨¿ª¾í²¿·Ö£© )e(Rf!P{ Îå.ÂÛÊöÌ⣨ÿÌâ10 ·Ö£¬¹²30 ·Ö£© ,pM~Phmp 1.·ÖÎöºôÎüË¥½ß»¼ÕßÑªÆø±ä»¯£¨PaO2 ÓëPaCO2 µÄ¹ØÏµ£©ºÍËá¼îƽºâÎÉÂÒµÄÀàÐͼ°Æä %X7R_>.
Óë·¢²¡»úÖÆµÄÁªÏµ¡£ D99g} 2.·ÖÎöÆðÅÜÏßÉϵÄÔ˶¯Ô±¡¢Í½²½ÉÏÂ¥µÄÐŦÄܲ»È«»¼Õß¡¢³öѪÐÔÐÝ¿ËÎÔ´²»¼ÕßÑªÒºÖØ Ydm0 зֲ¼µÄÒìͬ¡£ 7?!A~Seo| 3.ij·ÎÐIJ¡»¼Õߣ¬°éË®Öס¢Æø¶Ì£¬ÑªÆø¼°µç½âÖʲⶨ¼ì²é½á¹û£º !m"LIa#/Cs pH 7.30, PaCO2 78mmHg, PaO2 56mmHg, sU! h^N$ [HCO3 nr7#}pzo -] 33mmol/L, [K+] 4.5mmol/L, [Na+] 140mmol/L,[Cl-]76mmol/L +Z> Y// ·ÖÎöÆäËá¼îƽºâÎÉÂÒÀàÐͲ¢ËµÃ÷ÅжÏÒÀ¾Ý¡£ w^OV;gp !~Vo'ykwx' ÖйúкÍÒ½¿Æ´óѧҽѧϵ99 ¼¶¡¶²¡ÀíÉúÀíѧ¡·ÆÚÄ©¿¼ÊÔ 8=QOp[w £¨±Õ¾í²¿·Ö£© Z6s-n$dSm Ò».Ãû´Ê½âÊÍ£¨Ã¿Ìâ3 ·Ö£¬¹²9 ·Ö£© mApn[)?tv 1.acute phase response URU,&gy= 2.¸ßÊä³öÁ¿ÐÔÐÄË¥ rPhx^
QKH2 3.¹¦ÄÜÐÔ·ÖÁ÷ <Qg).n>;z ¶þ.ÅжÏÌ⣨¹²3 ·Ö£ºÃ¿Ìâ´ð¶ÔµÃ0.5 ·Ö£¬²»´ðµÃ0 ·Ö£¬´ð´í¿Û0.5 ·Ö£© <A|X4; 1.¸ßѪ¼ØÊ±»úÌåÌåÄÚ¼Ø×ÜÁ¿Î´±ØÔö¶à¡£ £¨ £© < z':_, 2.¶¯ÂöѪÑõº¬Á¿´óÓÚ¾²ÂöѪÑõº¬Á¿¡£ £¨ £©
f>*T0"\c 3.Ö²ÎïÈË×÷ΪÕûÌåÒѾËÀÍö£¬²»¿ÉÄָܻ´Òâʶ£¬¸ü²»¿ÉÄܸ´»î¡££¨ £© aa|u*afWQ 4.ÐÂÉú¶ù»Æðã²¢·Ç¶¼ÊÇÉúÀíÐԵġ£ £¨ £© n/W@H Im# 5.ARDS ʱ¾³£·¢ÉúºôÎüÐÔËáÖж¾¡£ £¨ £© L& = a( 6.Ò»Ñõ»¯Ì¼Öж¾»áµ¼ÖÂ×éÖ¯Öж¾ÐÔȱÑõ¡£ £¨ £© C,;T/9 &T.d"i Èý.Ìî¿Õ£¨Ã¿¿Õ0.5 ·Ö£¬¹²5 ·Ö£© l5h+:^#M5c 1.ÈËÌåˮƽºâÖ÷ÒªÓÉ_________________¼°__________________µ÷½Ú£¬×ÅÑÛÓÚά³Ö /ILj}g' __________________£»¶øÄÆÆ½ºâÔòÖ÷ÒªÊÜ______________µ÷½Ú£¬×ÅÑÛÓÚά³Ö Vn&{yCm3 _____________________________¼°_______________________________¡£ `iHyGfm 2.ѪҺÖеĻº³åϵͳÒÔ____________________________________________ÖØÒª£¬ Ibf~gr(j µ«Ëü²»ÄÜ»º³å___________________________________________________¡£ -VZn`6%s 3.ÒýÆðÐÄÊÒ˳ӦÐÔ½µµÍµÄÖ÷ÒªÔÒòÊÇ________________________________ºÍ£¨»ò£© ^aG$9N<\ ______________________________________________________________¡£ vHJOpQmt~ ËÄ.µ¥Ñ¡Ì⣨ÿÌâ0.5 ·Ö£¬¹²3 ·Ö£© }K.Rv(m 1.pH ½µµÍ¡¢AGÔö¸ß(>16)·´Ó³¿ÉÄÜ·¢ÉúÁË£º£¨ £© j_I[k8z A.´úлÐÔ¼îÖж¾ B.ºôÎüÐÔËáÖж¾ C.ºôÎüÐÔ¼îÖж¾ q
~%'V D.H+Ôö¶àµ¼ÖµĴúлÐÔËáÖж¾ E.HCO3 1.9bU/X -¶ªÊ§µ¼ÖµĴúлÐÔËáÖж¾ 7xF)\um 2.ÂýÐÔÉö¹¦Äܲ»È«³£ÓгöѪÇãÏò£¬ÔÒòÖ®Ò»ÊÇ£º£¨£© jgvzp A.ÏËάµ°°×Ô¼õÉÙ B.ÄýѪøԼõÉÙ C.ѪС°å¼ÆÊý¼õÉÙ +3yG8 D.FDP Éú³É¹ý¶àE.ѪС°åÕ³×ź;ۼ¯¹¦ÄܼõÈõ ~<N9ckK 3.ijЩ¸ÎÐÔÄÔ²¡»¼ÕßʹÓÃ×óÐý¶à°ÍµÄÄ¿µÄÊÇ£º£¨ £© Ln'y 3~@ A.½µµÍѪ°±B.ÈëÄÔºóÐγÉÕý³£Éñ¾µÝÖÊ C.´ÙÖ§Á´°±»ùËáÈëÄÔ >jU25"XI[ D.¼õÉÙ·¼Ïã°±»ùËáÈëÄÔ E.´Ù½øÄÔÄÚ°±µÄ·Ö½â´úл pV8_i7\ 4.άÉúËØB1ȱ·¦µ¼ÖÂÐÄË¥µÄ»úÀíÊÇ£º£¨ £© gt(^9t; A.ÐÄÔ๩Ñõ²»×㣬´úлÕϰ B.ÐÄÔàȱѪ£¬´úлÕϰ C.ÐÄÔàºó¸ººÉ¹ýÖØ /!#A'#Z D.ÃÖÂþÐÔÐ¡±ä E.Ðļ¡ÉúÎïÑõ»¯¹ý³ÌÕϰ ]'NL-8x"> 5.Ðļ¡Ô¶ÐÄÐÔ·Ê´óͨ³£²»»á·¢ÉúÓÚ£º£¨ £© kYhV1I
A.¸ßѪѹB.¼××´ÏÙ¹¦ÄÜ¿º½ø C.µÍÕÅÐÔȱÑõ D.ÑÏÖØÆ¶Ñª E.¶¯-¾²Âöðü xTU;rJV 6.×óÐÄË¥½ßÒýÆðºôÎüÀ§ÄѵĻúÀíÖ÷ÒªÊÇ£º£¨ £© |oWl9j]Z A.½»¸ÐÐ˷ܺôÎüÖÐÊà B.·ÎÓÙѪˮÖ× C.ȱÑõ·´ÉäÐԴ̼¤ºôÎüÖÐÊà )x,/+R]{8l D.pH ½µµÍ,H+´Ì¼¤ºôÎüÖÐÊà E.PaCO2 Éý¸ß´Ì¼¤ºôÎüÖÐÊà s=e`}4 gSa !zQN6 ÖйúкÍÒ½¿Æ´óѧҽѧϵ99 ¼¶¡¶²¡ÀíÉúÀíѧ¡·ÆÚÄ©¿¼ÊÔ cP",szcY £¨¿ª¾í²¿·Ö£© CnpQdI Îå.ÂÛÊöÌ⣨ÿÌâ10 ·Ö£¬¹²30 ·Ö£© \.aKxj5 1.·ÖÎöÂýÐÔºôÎü¹¦Äܲ»È«ÓëÂýÐÔÉö¹¦Äܲ»È«Ë¥½ßÆÚ»¼ÕßËá¼îƽºâÎÉÂÒµÄÀàÐÍ¡¢±íÏÖ¡¢ x8xz33 »úÌå´ú³¥¼°Ô¤ºó£¨½á¾Ö£©µÄÒìͬ¡£ dWx@<(`OC 2.·ÖÎöÆðÅÜÏßÉϵÄÔ˶¯Ô±¡¢Í½²½ÉÏÂ¥µÄÐŦÄܲ»È«»¼Õß¡¢ÎÔ´²µÄ³öѪÐÔÐݿ˻¼ÕßѪҺ 1COSbi] ÖØÐ·ֲ¼µÄÒìͬ¡£
}[{9u#@# 3.ijÌÇÄò²¡ÍªÑªÖ¢»¼ÕßÒòÉϸ¹²¿²»ÊÊŻͶø¼±Ö¢ÈëÔº£¬ÑªÆø¼°µç½âÖʲⶨ¼ì²é½á¹û£º .=)[S5.BVq pH 7.40, PaCO2 44mmHg, PaO2 100mmHg, xnC:?d [HCO3-] 26.4mmol/L, [K+] 4.0mmol/L, [Na+] 142mmol/L,[Cl-] 96mmol/L. ]K3bDU~ ·ÖÎöÆäËá¼îƽºâÎÉÂÒÀàÐͲ¢ËµÃ÷ÅжÏÒÀ¾Ý¡£ S"VO@)d 1£® --·ÖÎöºôÎüË¥½ß»¼ÕßÑªÆø±ä»¯£¨PaO2 ÓëPaCO2 µÄ¹ØÏµ£©ºÍËá¼îƽºâÎÉÂÒµÄÀàÐͼ°ÆäÓë·¢²¡»úÖÆµÄÁªÏµ¡£ TI}a$I* £¨Ã²Ëư´×ſμþ´ð¾Í¿ÉÒÔ£© `W >Sss ÑªÆø±ä»¯ ËùÓкôÎüË¥½ß»¼Õß¾ùÓÐPaO2½µµÍ£¨<60mmHg£©£»PaCO2ÔòÓв»Í¬±ä»¯£º
»ò¸ß£¬¼ûÓÚÍ¨ÆøÕϰÒýÆðÕߣ¨PaCO2Éý¸ßµÄ·ù¶ÈÓëPaO2½µµÍ»ù±¾Ò»Ö£©»òÍ¨ÆøÕϰºÏ²¢»»ÆøÕϰ£¨PaCO2Éý¸ßµÄ·ù¶ÈСÓÚPaO2µÄ½µµÍ£©£»
»òµÍ£¬¼ûÓÚÑÏÖØ»»ÆøÕϰÒýÆðÇÒ°éÍ¨Æø¹ý¶ÈÕߣ»
»òÈÔÕý³££¬¼ûÓÚ»»ÆøÕϰÒýÆð¶øÓÐÊʶÈÍ¨Æø´ú³¥Õß¡£
Ëá¼îƽºâÎÉÂÒ ËùÓкôÎüË¥½ß»¼Õß¾ùÓв»Í¬³Ì¶ÈµÄ´úлÐÔËáÖж¾£¨PaO2½µµÍ£¬È±Ñõ£¬ËáÐÔ´úл²úÎïÔö¶à£©£¬ÔÚ´Ë»ù´¡ÉϿɺϲ¢´æÔÚ£º
ºôÎüÐÔËáÖж¾£¬¼ûÓÚ¢òÐͺôÎüË¥½ß£¨ºÏ²¢¸ß̼ËáѪ֢£©£»
ºôÎüÐÔ¼îÖж¾£¬¼ûÓÚARDS¼°ºôÎüÆ÷¹ÜÀí²»µ±£¬PaO2½µµÍ£»
´úлÐÔ¼îÖж¾£¬¶àΪҽԴÐÔ¡£
ºôÎüË¥½ßʱÏʼûµ¥´¿ÐÔËá¼îƽºâÎÉÂÒ£¬¶àΪ»ìºÏÐÔ£¨¶þÖØÐÔÉõÖÁÈýÖØÐÔ£©Ëá¼îƽºâÎÉÂÒ¡£ -e_|^T" Kx?.g#>U; 2£® ·ÖÎöÂýÐÔºôÎü¹¦Äܲ»È«ÓëÂýÐÔÉö¹¦Äܲ»È«Ë¥½ßÆÚ»¼ÕßËá¼îƽºâÎÉÂÒµÄÀàÐÍ¡¢±íÏÖ¡¢»úÌå´ú³¥¼°Ô¤ºó£¨½á¾Ö£©µÄÒìͬ¡£ @M OaXe lUaJC'~p
ÂýÐÔºôÎü¹¦Äܲ»È«
ÂýÐÔÉö¹¦Äܲ»È«
ÀàÐÍ
Ò»¶¨ÓдúËᣬ¿ÉºÏ²¢ºôËá¡¢ºô¼î¡¢´ú¼î
´úËáΪÖ÷
±íÏÖ
pH½µµÍ£¨Ò²¿ÉÄÜÒò´ú³¥¶ø²»±ä£©£¬AGÉý¸ß£¬PaO2½µµÍ£¬PaCO2²»¶¨£¬[HCO3-]²»¶¨
pH½µµÍ£¬AGÉý¸ß£¬PaO2²»±ä£¬PaCO2Ò»°ã½µµÍ£¨ºôÎü´ú³¥£©£¬[HCO3-]½µµÍ
»úÌå´ú³¥
ϸ°ûÍâÒº»º³å£»
ºôÎü´ú³¥£¨¢òÐͺôÎüË¥½ß³ýÍ⣩£»
ϸ°ûÄÚÍâK+-H+½»»»¡¢Ï¸°ûÄÚÒº»º³å£»
ÉöÔàµ÷½Ú£¨×îÖØÒª£©£»
¹ÇÑλº³å£¨ºÜÉÙ·¢Éú£©
ϸ°ûÍâÒº»º³å£»
ºôÎü´ú³¥£»
ϸ°ûÄÚÍâK+-H+½»»»¡¢Ï¸°ûÄÚÒº»º³å£»
¹ÇÑλº³å£¨µ¼Ö¹ÇÓªÑø²»Á¼£©
Ô¤ºó
»úÌåÒ»°ã¿ÉÒÔ´ú³¥
ÑÏÖØ£¬Ò»°ãʧ´ú³¥
}$'XV. ËÄ¡¢ÎÊ´ðÌâ V%{WH}
1. ijÌÇÄò²¡ÍªÑªÖ¢»¼ÕßÒòÉϸ¹²¿²»ÊÊŻͶø¼±Ö¢ÈëÔº£¬ÑªÆø¼°µç½âÖʲⶨ¼ì²é½á¹û£º 5A$,'%d pH 7.40, PaCO2 44mmHg, PaO2 100mmHg, [HCO3-] 26.4mmol/L,[K+] 4.0mmol/L, [Na+] 142mmol/L, [Cl-] 96mmol/L. ·ÖÎöÆäËá¼îƽºâÎÉÂÒÀàÐͲ¢ËµÃ÷ÅжÏÒÀ¾Ý¡££¨¸ÐлÅ˻ݣ¡£¡£© ?(Ua+*b £¨1£©¿´²¡Ê·£¬¿´pH£¨ pH Æ«ÓÚÒ»²à£¬Ò»°ã´æÔÚͬÏòÐÔµÄËá¼îÎÉÂÒ£¬pH»ù±¾Õý³£ÖÁÉÙÓÐÁ½ÖÖÒìÏòÐÔµÄËá¼îƽºâÎÉÂÒ£©¡£ÕâÒ»²½ºÜ¹Ø¼ü£¬Ö±½Ó¾ö¶¨ÄãµÄÅжÏ˼·£¬Ï£Íû´ó¼Ò¶ÔÒýÆð¸÷ÀàËá¼îƽºâʧµ÷µÄ¼²²¡ÓÐһЩ»ù±¾Á˽⣬±ÈÈç´ËÌâÖеÄÌÇÄò²¡Ö¸Ê¾²¡ÈËÓÐ֢ͪËáÖж¾£¨´úËᣩ£¬ÁíÍâ²Î¿´ÁËÆäËûһЩÌâ¾³£³öµÄ»¹ÓÐÉö²¡×ÛºÏÖ¢£¨´úËᣩ£¬±¾ÌâÖв¡ÈË»¹ÓÐÅ»ÍÂָʾ´ú¼î£¬·ÎÐIJ¡ºÍÄçˮָʾºôËáµÈµÈ£¨¼¸ºõÿһµÀÌâ¶¼»á³öÏÖ£©£¬Èç¹û»¹ÓÐÆäËûÖ¸Ö¢£¬Ò²¿É×÷Ϊ·ÖÎöµÄÏÈÖ¤¡£ËùÒÔ£¬µÚÒ»²½ÏÈ¿´²¡Ê·£¬ÕÒÕÒÄÄЩÊǵäÐÍÒýÆðËá¼îƽºâÎÉÂҵIJ¡¡£ Vo6+| ztk| £¨2£©¼ÆËãÒõÀë×Ó¼ä϶£¬È·¶¨²¡ÈËÊÇ·ñ·¢Éú´úËá¡£ +?W4ac1 AG=[Na+]-[HCO3-]-[Cl-]=142-96-26.4=19.6>16,¿ÉÒÔÈ·¶¨²¡ÈËÓдúËá z`YC3_d ÔÚÕâÒ»²½»ù´¡ÉÏÓÖÓÉÌâĿ֪µÀ²¡ÈËpHÖµÕý³££¬ËùÒÔҪô°éÓкô¼î£¬ÒªÃ´Óдú¼î£¬ÒªÃ´Á½Õß¶¼ÓС£ c3Gy1#f:#2 £¨3£©Åжϲ¡ÈËÊÇ·ñ°éÓкôËᣬºô¼î£¬Óôú³¥¹«Ê½¼ÆËãPaCO2
D)bL;h Ô¤²â´ú³¥Öµ£ºPaCO2=1.5*[HCO3-]+8¡À2=49.6¡ª45.6 mmHg, > ʵ¼ÊµÄPaCO2 44mmHg£¬Ìáʾ²¡È˰éÓкô¼î @)x*6 2r+ (4) ÔÚÈ·¶¨Óкô¼îµÄ»ù´¡ÉÏ£¬ÅжÏÊÇ·ñ°éÓдú¼î£º b\KbF/T ´ú¼îµÄÅжÏûÓÐÖ±½ÓÖ¸Ö¢,±È½ÏÈÆ,Èç´ËÌ⣨ÆäʵŻÍº͵ÍÂÈÌáʾÓдú¼î£©,¿ÉÒÔÏȼÆËã¼ÙÉè½öÓкô¼îʱ[HCO3-]µÄÔ¤²âÖµ£¬Í¨¹ýPaCO2¼ÆË㣺 m ?; ?I]` [HCO3-]=24+0.2*(44-40) ¡À2.5=27.3¡ª22.3 mmol/L,Èç½öΪ´úËáºô¼î,´Ëʱ[HCO3-]Ó¦µÍÓÚ´ú³¥µÄÏÂÏÞ,¶ø¼ÆËã³ö½á¹ûÊÇ[HCO3-]ÔÚ´ú³¥·¶Î§ÄÚ,ָʾ²¡ÈËͬʱ°éÓдú¼î,ÌṩÁËÒ»²¿·Ö[HCO3-]¡£ Ozhn`9L+1! ½áÂÛ£º»¼ÕßΪÈýÖØÐÔ£¨ºô¼î-´ú¼î-´úËᣩËá¼îƽºâÎÉÂÒ ?:M4GY"gV o
^ \+Ua 2¡£Ä³·ÎÐIJ¡»¼Õߣ¬°éË®Öס¢Æø¶Ì£¬ÑªÆø¼°µç½âÖʲⶨ¼ì²é½á¹û£º Zxd*%v; pH 7.30, PaCO2 78mmHg, PaO2 56mmHg, [HCO3-] 33mmol/L,[K+] 4.5mmol/L, [Na+] 140mmol/L,[Cl-] 76mmol/L ·ÖÎöÆäËá¼îƽºâÎÉÂÒÀàÐͲ¢ËµÃ÷ÅжÏÒÀ¾Ý¡£ liG|#ny{ £¨¸ÐлËÎïdzΣ¡£¡£©£º n*Dn{ 7v#z 1¡£ ¿´²¡Ê· )[cuYH> ¸ù¾Ý·ÎÐIJ¡ºÍPaCO2Ö¸±ê¿ÉÍÆ²â´æÔÚºôÎüÐÔËáÖж¾¡£ _;U%`/T b 2¡£Í¨¹ýAGÅжÏÊÇ·ñÓдúËá {;E6jw@ ¸ù¾Ý²¡Ê·£¬·ÎÐIJ¡·¢ÉúȱÑõ¿É·¢ÉúÈéËáÐÔËáÖж¾£¬¼ÆËã |:&O!36 AG=140-(33+76)=31>16,¿ÉÈ·¶¨ÓдúËá U
PP"-`t 3¡£Èç¹ûͬʱ°éÓдú¼î£¬ÄÇô¾ÍÊǸßAGÐÔ´úËáºÏ²¢´ú¼î£¬¸ù¾ÝÊép155µÄÅжϷ½·¨£¬ÏȼÆËã[HCO3-]+¦¤AG=33+(31-12)=52 (hdu+^Qj= ÔÙ¼ÆËãºôËá´ú³¥Ô¤²â[HCO3-]=24+0.4*(78-40) ¡À3 = 42.2¡ª36.2mmol/L ^[r1Dk ·¢ÏÖ[HCO3-]+¦¤AG>42.2mmol/L£¬ÓÉ´ËÅжÏÓдú¼î ^H7xFd|> ½áÂÛ: ¸Ã»¼ÕßΪÈýÖØÐÔ£¨ºôËá-´úËá-´ú¼î£©Ëá¼îƽºâÎÉÂÒ \v6lcAL- ;9WUt,R 3¡£·ÖÎöÆðÅÜÏßÉϵÄÔ˶¯Ô±¡¢Í½²½ÉÏÂ¥µÄÐŦÄܲ»È«»¼Õß¡¢³öѪÐÔÐÝ¿ËÎÔ´²»¼ÕßÑªÒºÖØÐ·ֲ¼µÄÒìͬ¡££¨¸ÐлÁõ³½»Ô£¡£¡£© :fwt PvLo ÈýÕßÏàͬµãÊÇ»úÌåͨ¹ý½»¸Ð£ÉöÉÏÏÙËèÖÊϵͳµÈ¶ÔÈ«ÉíѪҺ·Ö²¼½øÐе÷½Ú£¬ÐÄÄÔµÄѪҺ¹©Ó¦¶¼ÐèÒª±£Ö¤¡£ÈýÕß²»Í¬´¦ÔÚÓÚ¸÷×ԵĻù´¡Ìõ¼þ״̬²»Í¬¡£ tK .1
* ÆðÅÜÏßÉϵÄÔ˶¯Ô±´¦ÓÚÓ¦¼¤×´Ì¬£¬½»¸Ð£ÉöÉÏÏÙËèÖÊϵͳÐË·ÜʹÐÄÌø¼Ó¿ì¡¢ÐÄÊä³öÁ¿Ôö¼Ó£¬È«ÉíÑªÒºÖØÐ·ֲ¼£¬ÄÚÔà¸÷Æ÷¹ÙѪ¹ÜÊÕËõ£¬¹Ç÷À¼¡Ñª¹ÜÊæÕÅ£¬Ê¹¼¡ÈâѪ¹©Ôö¼ÓΪÔ˶¯×öºÃ×¼±¸¡£µ±È»£¬´ËʱÐÄÄÔѪ¹ÜµÄѪ¹©ÈÔÒª±£ÕÏ£¬µ«Ïà¶ÔÀ´½²´Ëʱ¹©Ó¦¼¡Èâ×ã¹»µÄѪҺ¸üÎªÖØÒª¡£Ô˶¯Ô±»úÌåµÄ»ù´¡Ìõ¼þÓÅÓÚ³£ÈË£¬Òò¶øÓ¦¼¤Ê±ÐÄÔàµ÷½Ú´ú³¥ÄÜÁ¦Ç¿£¬¿Éͨ¹ý¼Ó¿ìÐÄÂÊ¡¢Ôö¼Ó»ØÐÄѪÁ¿µÈ·½Ê½Ê¹CO´ó·ù¶ÈÔö¼Ó£¬Ê¹¼¡ÈâµÃµ½×㹻Ѫ¹©£¬Í¬Ê±ÐÄÄÔµÈÖØÒªÔàÆ÷¹¦ÄÜÒ²²»Êܵ½Ó°Ïì¡£ I#M>b:"te ÐŦÄܲ»È«Õß±¾ÉíÐÄÔ๩ѪÄÜÁ¦²»×㣬Ô˶¯¡¢Ó¦¼¤×´Ì¬Ï´ú³¥ÄÜÁ¦ÓÐÏÞ¡£ÔÚͽ²½ÉÏ¥ʱ£¬¼¡ÈâÔ˶¯ÐèÒª½Ï¶àµÄѪ¹©ÒÔÌṩÑõÆø£¬ÓëÔ˶¯Ô±ÏàËÆ£¬´Ëʱ»úÌå½»¸Ð£ÉöÉÏÏÙËèÖÊϵͳÐË·Ü£¬Ê¹ÐÄÊä³öÁ¿ÓÐËùÔö¼Ó£¬µ«ÓÉÓÚÐÄÔà±ÃѪÄÜÁ¦Ï½µ£¬²»×ãÒÔÌṩ»úÌå´Ëʱ״̬ÏÂËùÐèµÄ×㹻Ѫ¹©¡£Òò´Ë×ÜÌåÉÏËäÈ»ÑªÒºÖØÐ·ֲ¼Ç÷ÊÆÓëÔ˶¯Ô±ÏàËÆ£¬µ«Êµ¼Ê¼¡Èâ²¢µÃ²»µ½³ä×ãµÄѪ¹©£¬Í¬Ê±»¹ÐèҪά³ÖÐÄÄÔµÄѪ¹©£¬µ¼Ö¸û¼Õß¼«Ò×Óڸе½Æ£ÀÍ¡£ b=1E87i@W ÐÝ¿ËÎÔ´²ÕßÓë֮ǰ²»Í¬´¦ÔÚÓÚûÓм¡ÈâѪ¹©Ôö¼ÓµÄÒªÇó£¬Òò´Ë»úÌåµ÷½Ú´ú³¥µÄÖ÷Òª·½ÏòÔÚÓÚ±£Ö¤ÐÄÄÔµÈÖØÒªÔàÆ÷µÄѪ¹©¡£¶ÔÓÚ³öѪÐÔÐݿˣ¬ÓÉÓÚѪÈÝÁ¿Ï½µ£¬Æ÷¹ÙѪ¹©²»×㣬´Ì¼¤½»¸Ð£ÉöÉÏÏÙËèÖÊϵͳÐË·Ü£¬µ¼ÖÂÄÚÔàÆ÷¹ÙѪ¹ÜÊÕËõ£¬¶øÐÄÄÔѪ¹Ü²»ÊÜÓ°Ï죨Ðݿ˴ú³¥ÆÚ£©¡£µ«´ËʱÓÉÓÚѪÈÝÁ¿Ï½µ£¬ËäȻͨ¹ýµ÷½Ú´ú³¥£¬ÐÄÂÊÔö¼Ó£¬µ«COÏà¶ÔÕý³£Ê±Ï½µ¡£ 5O d]rE A)3H`L 4¡£·ÖÎöÂýÐÔºôÎü¹¦Äܲ»È«ÓëÂýÐÔÉö¹¦Äܲ»È«Ë¥½ßÆÚ»¼ÕßËá¼îƽºâÎÉÂÒµÄÀàÐÍ¡¢±íÏÖ¡¢ 9(q(;|;Hp »úÌå´ú³¥¼°Ô¤ºó£¨½á¾Ö£©µÄÒìͬ¡£(¸ÐлÁõÖ¾¿£¡£¡) rD4umWi
ÂýÐÔºôÎü¹¦Äܲ»È«
ÂýÐÔÉö¹¦Äܲ»È«
ÀàÐÍ
Ò»¶¨ÓдúËᣬ¿ÉºÏ²¢ºôËá¡¢ºô¼î¡¢´ú¼î
´úËáΪÖ÷
±íÏÖ
ÎÞÑõ½Í½âÔö¶à£¬ÈéËá¶Ñ»ý£¬ËáÐÔ²úÎïÔö¶à¡£ÑªÇ弨ō¶È¿ÉÄÜÉý¸ß£¨H+ -K+½»»»£©¡£pH½µµÍ£¨Ò²¿ÉÄÜÒò´ú³¥¶ø²»±ä£©£¬AGÉý¸ß£¬PaO2½µµÍ£¬PaCO2²»¶¨£¬[HCO3-]²»¶¨¡£
ÑÏÖØÅÅËá±£¼î¹¦ÄÜÕϰ£¬ÃÚH+ÄÜÁ¦¼õÈõ£¬ÖØÎüÊÕ[HCO3-]ÄÜÁ¦¼õÈõ¡£pH½µµÍ£¬AGÉý¸ß£¬PaO2²»±ä£¬PaCO2Ò»°ã½µµÍ£¨ºôÎü´ú³¥£©£¬[HCO3-]½µµÍ¡£
»úÌå´ú³¥
ϸ°ûÍâÒº»º³å£»
ºôÎü´ú³¥£¨¢òÐͺôÎüË¥½ß³ýÍ⣩£»
ϸ°ûÄÚÍâK+-H+½»»»¡¢Ï¸°ûÄÚÒº»º³å£»
ÉöÔàµ÷½Ú£¨×îÖØÒª£©£»
¹ÇÑλº³å£¨ºÜÉÙ·¢Éú£©
ϸ°ûÍâÒº»º³å£»
ºôÎü´ú³¥£»
ϸ°ûÄÚÍâK+-H+½»»»¡¢Ï¸°ûÄÚÒº»º³å£»
¹ÇÑλº³å£¨µ¼Ö¹ÇÓªÑø²»Á¼£©
[×¢ÒâÉöÊDz¡Òò£¬ÎÞ·¨ÐÐʹ´ú³¥]
Ô¤ºó
½ÏºÃ£¬»úÌåÒ»°ã¿ÉÒÔ´ú³¥
ÑÏÖØ£¬Ò»°ãʧ´ú³¥
P_N
F;v5v 5¡£·ÖÎöºôÎüË¥½ß»¼ÕßÑªÆø±ä»¯£¨PaO2 ÓëPaCO2 µÄ¹ØÏµ£©ºÍËá¼îƽºâÎÉÂÒµÄÀàÐͼ°Æä <$zhNu~ Óë·¢²¡»úÖÆµÄÁªÏµ¡£(¸ÐлÁõÖ¾¿£¡£¡) tE{M £¨Ã²Ëư´×ſμþ´ð¾Í¿ÉÒÔ£© \.O&-oi ÑªÆø±ä»¯ ËùÓкôÎüË¥½ß»¼Õß¾ùÓÐPaO2½µµÍ£¨<60mmHg£©£»PaCO2ÔòÓв»Í¬±ä»¯£º
»ò¸ß£¬¼ûÓÚÍ¨ÆøÕϰÒýÆðÕߣ¨PaCO2Éý¸ßµÄ·ù¶ÈÓëPaO2½µµÍ»ù±¾Ò»Ö£©»òÍ¨ÆøÕϰºÏ²¢»»ÆøÕϰ£¨PaCO2Éý¸ßµÄ·ù¶ÈСÓÚPaO2µÄ½µµÍ£©£»
»òµÍ£¬¼ûÓÚÑÏÖØ»»ÆøÕϰÒýÆðÇÒ°éÍ¨Æø¹ý¶ÈÕߣ»
»òÈÔÕý³££¬¼ûÓÚ»»ÆøÕϰÒýÆð¶øÓÐÊʶÈÍ¨Æø´ú³¥Õß¡£
Ëá¼îƽºâÎÉÂÒ ËùÓкôÎüË¥½ß»¼Õß¾ùÓв»Í¬³Ì¶ÈµÄ´úлÐÔËáÖж¾£¨PaO2½µµÍ£¬È±Ñõ£¬ËáÐÔ´úл²úÎïÔö¶à£©£¬ÔÚ´Ë»ù´¡ÉϿɺϲ¢´æÔÚ£º
ºôÎüÐÔËáÖж¾£¬¼ûÓÚ¢òÐͺôÎüË¥½ß£¨ºÏ²¢¸ß̼ËáѪ֢£©£»
ºôÎüÐÔ¼îÖж¾£¬¼ûÓÚARDS¼°ºôÎüÆ÷¹ÜÀí²»µ±£¬PaO2½µµÍ£»
´úлÐÔ¼îÖж¾£¬¶àΪҽԴÐÔ¡£
ºôÎüË¥½ßʱÏʼûµ¥´¿ÐÔËá¼îƽºâÎÉÂÒ£¬¶àΪ»ìºÏÐÔ£¨¶þÖØÐÔÉõÖÁÈýÖØÐÔ£©Ëá¼îƽºâÎÉÂÒ¡£ prN+{N8YC D?"P\b[/ ¸½±í£º(by ËÎïdzÎ) &e:+;7 1¡£ÑªÇåµç½âÖÊÕý³£Öµ£º -5 PVWL\ Na: 130-150mmol/L tkcs6uy K: 3.5-5.5mmol/L n`&D_AbQ 2. Õý³£ÉøÍ¸Ñ¹ºÍÂ˹ýѹ
*ÇýʹѪ¹ÜÄÚÒºÏòÍâÂ˳öµÄÁ¦Á¿ÊÇÆ½¾ùÓÐЧÁ÷Ì徲ѹ=
ƽ¾ùëϸѪ¹Üѹ(2.33kPa/18mmHg)-×éÖ¯¼äÒºÁ÷Ì徲ѹ(-0.87kPa/-5.5mmHg)=3.20kPa/23.5mmHg£»
*´Ùʹ×éÖ¯¼äÒº»ØÁ÷ÖÁëϸѪ¹ÜµÄÁ¦Á¿ÊÇÓÐЧ½ºÌåÉøÍ¸Ñ¹=
Ѫ½¬½ºÌåÉøÍ¸Ñ¹(3.72kPa/28mmHg)-×éÖ¯¼äÒº½ºÌåÉøÍ¸Ñ¹(0.67kPa/5mmHg)=3.05kPa/23mmHg¡£
*Á½ÕßÖ®²î¼´Îª¾»Â˹ýѹ£¬»ò³ÆÓÐЧÂ˹ýѹ=3.20kPa-3.05kPa=0.15kPa
3¡£ÌåÒº·Ö²¼£º S<Gm*$[7 ³ÉÄêÄÐÐÔ£º×ÜÁ¿ Õ¼ÌåÖØµÄ60% >FwK_Zd' ϸ°ûÄÚÒº£¨intracellular fluid£¬ICF£© Õ¼ÌåÖØµÄ40% !pw)sO~ ϸ°ûÍâÒº£¨extracellular fluid£¬ECF£© Õ¼ÌåÖØµÄ20% UAhWJ$(C ×éÖ¯¼äÒº£¨interstitial fluid£¬ISF£© Õ¼ÌåÖØµÄ15% F[Mwd &P@ Ѫ½¬£¨plasma£©£¬Òà³ÆÑª¹ÜÄÚÒº Õ¼ÌåÖØµÄ5% :M6v<Kg{; ÐÂÉú¶ùÌåÒº×ÜÁ¿Õ¼ÌåÖØµÄ80%£¬Ó¤¶ùÕ¼70%£¬Ñ§Áä¶ùͯԼռ65%£»³ÉÄêÅ®ÐÔÔ¼Õ¼50%£»ÀÏÄêÈ˽öÕ¼45%×óÓÒ£»¼«¶È·ÊÅÖÕßÉõÖÁ²»×ã40%£» +71<B>L
*ÍÑË®³ÉÄêÄÐÐÔ»¼ÕßÌåÒºÕ¼ÌåÖØµÄ50% ?@$xLUHR4 4.·´Ó³Ëá¼î״̬µÄÖ÷ÒªÑªÆøÖ¸±ê¼°Õý³£·¶Î§ÈçÏ£º y<
*-& ¢ÙpHΪ7.35¡«7.45,H+Ũ¶ÈΪ45¡«35mmol/L mLZ1u\7W ¢ÚPaCO2Ϊ33¡«46mmHg(4.39¡«6.25kPa),ƽ¾ùΪ40mmHg(5.32kPa) oH%[8!# ¢ÛSB([HCO3-])Ϊ22¡«27mmol/L,ƽ¾ùΪ24mmol/L,AB=SB IoLi7NKw ¢ÜBBΪ45¡«52mmol/L,ƽ¾ùΪ48mmol/L \Dq'~
d ¢ÝBEΪ¡ª3.0¡«+3.0mmol/L ftxL-7y
% ¢ÞAGΪ12¡À2mmol/L Ò»°ãAG>16¿ÉÒÔÅжÏÓдúËá ^_Hf}8H7] 5¡£Ëá¼îƽºâµÄÏà¹Ø¼ÆË㹫ʽ ai sa2# 1) AG=[Na+] - ( [HCO3---]+ [Cl-] ) s%K( hk Ãû½â /Rq\Mgb ¹¦ÄÜÐÔ·ÖÁ÷ fF0i^E< SIRS p lnH FDP OA3J(4!"W ÒþÐÔ»Æðã MIIl+ W"vLCHTh !2Nk <3B^5p\/
2. ¸ßѪѹ³£µ¼Ö£º J#Hh4Kc ÓÒÐÄË¥ H 1kI+YJ@ ¸ßÊä³öÁ¿ÐÄË¥ r/!,((Z\ ÊÕËõÐÔÐÄË¥ <x^$Fu ÊæÕÅÐÔÐÄË¥ fAULuF 3. ÏÂÁÐÄÇÖÖÇé¿öµ¼ÖÂÎüÆøÐÔºôÎüÀ§ÄÑ£º J.1c,@ ÂýÐÔÖ§Æø¹ÜÑ× DPzW,aIgv ·ÎÆøÖ× y5j:+2|I ºíÍ·Ë®ÖÐ 7y|U!r"Y Ö§Æø¹ÜÏø´ kBR=a%kG 4. ÏÂÁÐÄÇÖÖÇé¿öÒ×µ¼ÖÂÍâÔ´ÐÔ¸ÎÐÔÄÔ²¡£º QAV6{QShj ±¬·¢ÐÔ²¡¶¾ÐÔ¸ÎÑ× kzZgNv#G; ¸ÎÑ׺ó¸ÎÓ²»¯ zVS{X=u ¼±ÐÔÖж¾ );.$`0 ÑÏÖØÒ©ÎïÐÔ¸ÎÑ× {zcG%b WJ k_V+;&:% 5. ÊôÓÚ¼ÙÐÔÉñ¾µÝÖʵÄÊÇ£º &gXL{cK'% ±½ÒÒ´¼°· 1$T`j2s $vXY"-k 6. ÉöÔ಻·ÖÃڵļ¤ËØ»ò¼¤ËØÀàÎïÖÊÊÇ£º _R\FB|_ ÉöËØ q0+N#$g#
ǰÁÐÏÙËØ {A0F/#M] È©¹Ìͪ ,'(|,f42 ´Ùºìϸ°ûÉú³ÉËØ Dr.eos4 ~ ^s6~*n<fH 7. ¼±ÐÔÉö˥ʱÉÙÄòÊÇÖ¸ÄòÁ¿£º bra2xHK@ ¡´400ml/24h =cl#aS}e8 \ZcI{t'a 8. ºÎÖÖÀàÐ͵ÄË®ÄÆ´úлÎÉÂÒÒ׳öÏÖÄÔ³öѪ wnX;eU/n µÍÈÝÁ¿ÐÔµÍÄÆ 7-B|B{] µÍÈÝÁ¿ÐÔ¸ßÄÆ 2`]c&k;] 2¡£¸ø´ó¼ÒÓ¡µÄ98¡¢99µÄÌâÄ¿£¬ÆäÖеÚÒ»´óÌâµÄ½â´ðÓÐÎ󣬰´ÕÕÌâÉèµÄÌõ¼þ£¬¿ÉÒÔÅжÏûÓкôÎüÐÔµÄËá¼îƽºâÎÉÂÒ£¬ÒòΪPaCO2 44mmHg»¹ÊÇÊôÓÚÕý³£·¶Î§Äڵģ¬Èç¹û²¡ÈËÓкô¼î»òÕߺôËᣬÄÇôPaCO2²»»áÔÙÕý³£·¶Î§ÄÚ¡£ HAO-|=c4 ½Ó×Å¿ÉÒÔÅжÏÊÇ·ñ°éÓдú¼î£¬·½·¨ÊÇ£ºÒ»·½Ãæ´æÔÚ´úËᣬµ«ÊÇpHÖµÕý³££»ÁíÒ»·½Ãæ´úËáÓ¦¸ÃÔì³É[HCO3-]½µµÍ£¬¶øÊµ¼Ê[HCO3-]±ÈÕý³£Öµ»¹¸ß¡£ÕâÁ½·½ÃæÔÒò¶¼ÏÔʾÓкϲ¢´ú¼î¡£µ±È»Ò²¿ÉÒÔÁ¿»¯¼ÆË㣺¼ÙÉèÖ»ÓдúËáʱ£¬ µ¥ÓÉ´úËáÒòËØµ¼ÖÂ[HCO3-]Á¿=24-¦¤AG=24-(19.6-12)=16.4 DLbP$&o ¶øÊµ¼ÊÉÏ[HCO3-]Ϊ26.4£¬ËùÒÔÒ»¶¨Óдú¼î¡£ : _Y^o 3¡£¹ØÓÚÄýѪÄÇÕ£¬Ö»ÒªÕÆÎÕDIC£¬ÆäÖз¢²¡µÄ»úÖÆÊÇÖØµã£¬ÌرðÊÇ·¢²¡Ê±ÄýѪµÄ¼¤»î;¾¶£¬·ÖÆÚºÍ¸÷ÆÚµÄ±íÏÖ²»ÓÃÏêÏ¸ÕÆÎÕ£¬µ«ÊÇÒªºÍ·¢²¡µÄ»úÖÆÁªÏµÆðÀ´¡£Õï¶ÏºÍÖÎÁƶ¼²»Óÿ´¡£È±ÑõÄÇÕ£¬Ö÷ÒªÕÆÎÕ£ºÅжÏȱÑõµÄÖ¸±ê¡¢¶¯¾²ÂöÑõ²î¡¢È±ÑõµÄ·ÖÀàºÍ¸÷Àà»úÖÆµÄ²»Í¬¡£ÆäËûËùÓеÄÕ½ڸ´Ï°Ê±¶¼Êǰ´ÕÕÕâ¸öÔÔò£¬»úÀíºÍ·¢²¡¹ý³ÌÊÇÖØµã¡£ 0t!Z
MH 5¡££¨Õë¶Ô98¡¢99´ð°¸ÖеÚ4µÀ´ðÌ⣩ÂýÐÔÉö¹¦Äܲ»È«Ê±£¬ËäÈ»ÊÇÒÔ´úËáΪÖ÷£¬µ«ÊÇÒ²¿ÉÄܺϲ¢ÆäËûµÄËá¼îƽºâÎÉÂÒ£¬ÀýÈç´ú¼î¡¢ºôËá¡¢ºô¼î¡£±íÏÖÀﻹҪ¼ÓÉϰéÓи߼ØÑªÖ¢¡£¶øÂýÐÔºôÎü¹¦Äܲ»È«ÀïÃæ£¬»úÌå´ú³¥»úÖÆÖУ¬ºôÎü´ú³¥ÒªÇø±ðIÐͺôÎüË¥½ßºÍIIÐÍ¡£IÐÍ¿ÉÒÔÓкôÎü´ú³¥£¬µ«ÊÇIIÐÍ(°éÓиß̼ËáѪ֢)·Î¹¦ÄÜËðÉËÑÏÖØ£¬²»»áÓкôÎü´ú³¥¡£ -J63'bb7oi @].s^ss9_ ϸ°ûµòÍö£¨apoptosis£©ÊÇÌåÄÚÍâÉúÀí»ò²¡ÀíÒòËØ´¥·¢Ï¸°ûÄÚÔ¤´æµÄËÀÍö³ÌÐòËùµ¼ÖµÄϸ°ûÖ÷¶¯ËÀÍö¹ý³Ì¡£ On);SN' ÒâÒ壺 \)28
,` ²ÎÓëÉú³¤·¢Óý ',hoe ά³ÖÄÚ»·¾³Îȶ¨ {
@KLN< ²ÎÓë·ÀÓù·´Ó¦ vhOh3 ºÍ»µËÀµÄÇø±ð P24±í£¨×î¶à¿¼´óÌ⣬¹À¼Æ¿ÉÄÜÐÔ¼«Ð¡£© A(&\wd ÓÕµ¼ÒòËØ£ºÀí»¯ÒòËØ¡¢ÉúÎïÒòËØ¡¢ÃâÒßÒòËØ¡¢¼¤ËغÍÉú³¤Òò×Óʧºâ Z%o.kd" ·¢Éú»úÖÆ£ºÑõ»¯ËðÉË¡¢¸ÆÎÈ̬ʧºâ¡¢ÏßÁ£ÌåËðÉË 6T4"m ϸ°ûµòÍöµÄ;¾¶ PYQ ÍâÔ´ÐÔ/ËÀÍöÊÜÌå;¾¶ Fas-FasL->Caspase 8->apoptosis FLIP×è¶Ï $]?pAqU\ ÄÚÔ´ÐÔ/ÏßÁ£Ìå;¾¶ ϸ°ûÉ«ËØC-ACF-1->Caspase 9->apoptosis bcl-2¡¢Bcl-x×è¶Ï /w dvm4 µòÍöµ°°×ø£¨Caspase£©ÊǺ͵òÍöÓйصĵ°°×ø£¬Æä»îÐÔÖÐÐĸ»º¬°ëë×°±Ëᣬ¶Ôµ×ÎïµÄÌ춬°±ËáÓÐÌØÒìË®½â×÷ÓᣠD`n<!"xg@$ ºÍµòÍöÓйصĻùÒò im<!JMI ´Ù½ø P53 ST#)Fl ÒÖÖÆ bcl-2 vyc<RjS_x Ë«Ïò Bcl-x¡¢C-myc uF%N`e^S ÐźÅתµ¼ÏµÍ³£º \zVp8MMf ϸ°ûÄÚCa2+ÐźÅϵͳ ZK{1z| Éñ¾õ£°·ÐźÅϵͳ AnsJ3C cAMP/PKAÐźÅϵͳ K/(Z\lL PIP2/PKCÐźÅϵͳ /KiaLS Fas/FasLÐźÅϵͳ R8% u9o ÀÒ°±ËἤøÐźÅϵͳ T2T?)_f /
ÌØµãÊǶàÑùÐÔ¡¢Å¼ÁªÐÔ¡¢Í¬Ò»ÐÔ¡¢¶à;ÐÔ |<YF.7r; µòÍö²»×ãµ¼ÖÂÖ×Áö£¬¹ý¶àµ¼ÖÂÐÄѪ¹Ü¼²²¡ºÍCNSÍËÐÐÐÔ¼²²¡ÄÔ¹¦Äܲ»È« wGz_IL.D ²¡Òò£ºÍâÉË¡¢¸ÐȾ¡¢Öж¾¡¢ÐÄѪ¹Ü¼²»¼¡¢Ö×Áö¡¢ÆäËû mh_GYzd ±íÏÖ£ºÍ·Í´¡¢³é´¤¡¢Ì±»¾¡¢Âéľ¡¢Ñ£ÔΡ¢ÔÎØÊ¡¢ÆäËû HRd02tah ÄÔÒ¶ºÍ¼²²¡ fb]=M
oiJ ¶îÒ¶ Ô˶¯¡¢Ô˶¯ÐÔʧÓBrocaÇø£© a- /p/
I-% ¶¥Ò¶ ¸Ð¾õ 4=ha$3h$ ò¨Ò¶ Ìý¾õ¡¢¸Ð¾õÐÔʧÓWernickeÇø£© {6*UtG ÕíÒ¶ ÊÓ¾õ KC\W6|NtGj ÈÏÖªÕϰ£¨cognitivedisorder£© 1N8YD .3 ºÍѧϰ¼ÇÒ䡢˼άÅжÏÓйصĴóÄԸ߼¶ÖÇÄܼӹ¤¹ý³ÌÒì³££¬µ¼ÖÂѧϰ¼ÇÒäÕϰ£¬°éËæÊ§ÓʧÓá¢Ê§ÈÏ¡¢Ê§ÐеȸıäµÄ²¡Àí¹ý³Ì¡£ n{F&GE=" ×¢ÒâÈÏÖªÕϰµÄǰÌáÊǸоõ¡¢Ô˶¯ºÍÖÇÄÜÕý³££¡ \
?k"AtL ±íÏÖ£ºÑ§Ï°¼ÇÒäÕϰ¡¢ÓïÑÔÕϰ¡¢Ê§Óá¢Ê§ÈÏ¡¢³Õ´ô <,'^dR7, ²¡Òò£ºÂÄÔËðÉË¡¢×éÖ¯´úлÒì³£¡¢È±ÑªÈ±ÑõËðÉË¡¢ÂýÐÔÈ«ÉíÐÔ¼²²¡¡¢Éñ¾¾«Éñ»î¶¯Òì³£¡¢ÄÔÀÏ»¯ H%Sx*| Òâʶ£¨consciousness£©ÊÇÈ˶Ô×ÔÉí״̬ºÍ¿Í¹Û»·¾³µÄÖ÷¹ÛÈÏʶÄÜÁ¦£¬ÊÇÈËÄÔ·´Ó³¿Í¹ÛÏÖʵµÄ×î¸ßÐÎʽ¡£ÒâʶÕϰ£¨concious disorder£©ÊDz»ÄÜÕýÈ·ÈÏʶ×ÔÉí״̬ºÍ£¨»ò£©¿Í¹Û»·¾³£¬²»ÄܶԻ·¾³´Ì¼¤×ö³öÕýÈ··´Ó¦µÄÒ»ÖÖ²¡Àí¹ý³Ì¡£ iEBxBsz_ ±íÏÖ£ºÚÞÍý¡¢¾«Éñ´íÂÒ¡¢»è˯£¨ëì·´Éä´æÔÚ¡¢¶ÔÇ¿ÁҴ̼¤Óз´Ó¦£©¡¢»èÃÔ )%?SWuS?N Ô˶¯Õϰ s[/)v: ¼²²¡ ¼¡ÕÅÁ¦ Ô˶¯ Luh*+l-nO Õð²üÂé±Ô ¸ß ¼õÉÙ ?Qh[vcF7` Î赸Ñù²¡ µÍ Ôö¶à \o!B:Vb< 98£º MW.,}f ¶þ.ÅжÏÌ⣨¹²4 ·Ö£ºÃ¿Ìâ´ð¶ÔµÃ0.5 ·Ö£¬²»´ðµÃ0 ·Ö£¬´ð´í¿Û0.5 ·Ö£© )0@&pEObm 1.´Ó·¢ÈȵĻúÖÆ·ÖÎö£¬ÎïÀí½µÎÂÓк¦ÎÞÒæ¡£ £¨¶Ô£©£¬ÒòΪ¡°µ÷¶¨µã¡±Î´½µÖ®Ç°ÓÃÎïÀí·½·¨½øÐÐÇ¿ÖÆ½µµÍѪΣ¬»áÒýÆð»úÌå¸üÃ÷ÏԵIJúÈÈ·´Ó¦¡£µ«µ±¹ý¸ßµÄÌåν«Ëðº¦ÖÐÊàÉñ¾ÏµÍ³Ê±£¬Í·²¿µÄ¾Ö²¿ÐÔÎïÀí½µÎ¿ÉÄÜÓÐÖúÓÚ±£»¤´óÄÔ¡£¡ª¡ª¿Î±¾P181 q}7(w$& 2.µÍѪ¼ØÊ±»úÌåÒ»¶¨È±¼Ø¡£ £¨´í £©µ±µÍѪ¼ØÓɼطֲ¼Òì³£ÒýÆðʱ£¬ÌåÄÚ¼Ø×ܺ¬Á¿²¢²»¼õÉÙ¡£¡ª¡ª¿Î±¾P116 T+<OlXpL 3.¶¯ÂöѪÑõÈÝÁ¿´óÓÚ¾²ÂöѪÑõÈÝÁ¿¡£ £¨´í£©ÑªÑõÈÝÁ¿Ö¸100mlѪҺÖÐHb±»Ñõ³ä·Ö±¥ºÍʱµÄ×î´ó´øÑõÁ¿¡£Æä´óСȡ¾öÓÚѪҺÖÐHbµÄÁ¿¼°ÆäÓëÑõÆø½áºÏµÄÄÜÁ¦£¬²»È¡¾öÓÚÊǶ¯ÂöѪ»òÕß¾²ÂöѪ¡£¡ª¡ª¿Î±¾P157 ~D Ta%J 4.Äò¶¾Ö¢½ö¼ûÓÚÂýÐÔÉö¹¦Äܲ»È«ÖÕÄ©ÆÚ¡£ £¨´í£©¼±ÐÔÉö¹¦ÄÜË¥½ß·¢Õ¹µÄ×îÑÏÖØ½×¶ÎÒ²ÊÇÄò¶¾Ö¢¡£¡ª¡ª¿Î±¾P385 Js8d{\0\ 5.¸ßÉøÐÔȱˮʱ»úÌ嶪ʧµÄÒºÌåÊǵÍÉøµÄ¡£ £¨¶Ô£©¡ª¡ª¼û¹ùÀÏʦ½²ÒåP5ͼ fxX4
!r 6.Ö²ÎïÈËÎÞÐèÈ˹¤ºôÎüºÍÈ˹¤Æð²«Òà¿ÉÉú´æ¡£ £¨¶Ô£© yNmzRH u 7.ÔÚÎÒ¹úÁÙ´²Êµ¼ùÖÐÄÔËÀÍöÒÑΪÁ¢·¨ÈϿɣ¬¶ø°²ÀÖËÀÔò²»È»¡££¨´í£©ÎÒ¹úÄÔËÀÍöδÁ¢·¨ÈÏ¿É _;5N@2? 8.ÐÂÉú¶ù»Æðã¶¼ÊÇÉúÀíÐԵġ£ £¨´í£©ºË»Æð㡪¡ª¹ùÀÏʦ½²ÒåP38 >!2d77I 99£º 0\^K\J,. 1.¸ßѪ¼ØÊ±»úÌåÌåÄÚ¼Ø×ÜÁ¿Î´±ØÔö¶à¡£ £¨¶Ô£© EY
9N{ 2.¶¯ÂöѪÑõº¬Á¿´óÓÚ¾²ÂöѪÑõº¬Á¿¡£ £¨´í£© r*s)T`T}} 3.Ö²ÎïÈË×÷ΪÕûÌåÒѾËÀÍö£¬²»¿ÉÄָܻ´Òâʶ£¬¸ü²»¿ÉÄܸ´»î¡££¨´í£© n<>/X_m 4.ÐÂÉú¶ù»Æðã²¢·Ç¶¼ÊÇÉúÀíÐԵġ£ £¨¶Ô£© BnLE+X 5.ARDS ʱ¾³£·¢ÉúºôÎüÐÔËáÖж¾¡£ £¨´í£©ºôÎüÐÔ¼îÖж¾¡ª¡ª¹ùÀÏʦ½²Òå })@LvYK 6.Ò»Ñõ»¯Ì¼Öж¾»áµ¼ÖÂ×éÖ¯Öж¾ÐÔȱÑõ¡£ £¨´í£©ÑªÒºÐÔȱÑõ¡ª¡ª¿Î±¾P159 4wQ>HrS)( 98¼¶ zd3%9r j$ Èý.µ¥Ñ¡Ì⣨ÿÌâ0.5 ·Ö£¬¹²4 ·Ö£© -nrfu) G 1.pH ½µµÍ¡¢AG Õý³£·´Ó³·¢ÉúÁË£º£¨D£© (|<.7K N A.´úлÐÔ¼îÖж¾ B.ºôÎüÐÔËáÖж¾ C.ºôÎüÐÔ¼îÖж¾ H
GRH9W D.¸ßѪÂÈÐÔ´úлÐÔËáÖж¾ E.Õý³£ÂÈѪÐÔ´úлÐÔËáÖж¾ b:}+l;e52 2.µÍ×èÁ¦ÐÍÐÝ¿Ë×î³£¼ûÓÚ£º£¨D£© .FXn=4l'vV A.ʧѪÐÔÐÝ¿Ë B.ÉÕÉËÐÔÐÝ¿Ë C.ÐÄÔ´ÐÔÐÝ¿Ë D.¸ÐȾÐÔÐÝ¿Ë E.´´ÉËÐÔÐÝ¿Ë Z}'"c9oB 3.¸÷ÖÖÂýÐÔÉö¼²»¼²úÉúÂýÐÔÉö¹¦Äܲ»È«µÄ¹²Í¬·¢²¡»·½ÚÊÇ£º£¨D£© &-0eWwMW A.ÉöȱѪ B.ÉöÖж¾ C.ÉöѪ¹Ü¹£Èû D.Éöµ¥Î»¹ã·ºÆÆ»µ E.ÉöС¹Ü×èÈû ,d34v*U 4.ÂýÐÔÉö¹¦Äܲ»È«³£ÓгöѪÇãÏò£¬ÔÒòÖ®Ò»ÊÇ£º£¨E£© C|A:^6d3= A.ÏËάµ°°×Ô¼õÉÙ B.ÄýѪøԼõÉÙ C.ѪС°å¼ÆÊý¼õÉÙ "ewB4F[ D.FDP Éú³É¹ý¶à E.ѪС°åÕ³×ź;ۼ¯¹¦ÄܼõÈõ KzC`*U[
5.ijЩ¸ÎÐÔÄÔ²¡»¼ÕßʹÓÃ×óÐý¶à°ÍµÄÄ¿µÄÊÇ£º£¨B£© /P/S0 A.½µµÍѪ°± B.ÈëÄÔºóÐγÉÕý³£Éñ¾µÝÖÊ C.´ÙÖ§Á´°±»ùËáÈëÄÔ p$cSES>r: D.¼õÉÙ·¼Ïã°±»ùËáÈëÄÔ E.´Ù½øÄÔÄÚ°±µÄ·Ö½â´úл U0:tE>3` 6.άÉúËØB1ȱ·¦µ¼ÖÂÐÄË¥µÄ»úÀíÊÇ£º£¨E£© `cgSyRD] A.ÐÄÔ๩Ñõ²»×㣬´úлÕϰ B.ÐÄÔàȱѪ£¬´úлÕϰ C.ÐÄÔàºó¸ººÉ¹ýÖØ j.@TPf* D.ÃÖÂþÐÔÐ¡±ä E.Ðļ¡ÉúÎïÑõ»¯¹ý³ÌÕϰ c|'hs 7.Ðļ¡ÏòÐÄÐÔ·Ê´óͨ³£·¢ÉúÓÚ£º£¨A£© ~\z\f}w A.¸ßѪѹ B.¼××´ÏÙ¹¦ÄÜ¿º½ø C.ÊäÒº¹ýÁ¿ D.ÑÏÖØÆ¶Ñª E.¶¯-¾²Âöðü jpCQ2 XD: 8.×óÐÄË¥½ßÒýÆðºôÎüÀ§ÄѵĻúÀíÖ÷ÒªÊÇ£º£¨B£© .{1MM8 Q A.½»¸ÐÐ˷ܺôÎüÖÐÊà B.·ÎÓÙѪˮÖ× C.ȱÑõ·´ÉäÐԴ̼¤ºôÎüÖÐÊà m_z1|zM}o D.PaCO2 Éý¸ß¶ÔºôÎüÖÐÊàµÄ´Ì¼¤ E.pH ½µµÍ,H+¶ÔºôÎüÖÐÊàµÄ´Ì¼¤ vO)nqtw ÖйúкÍÒ½¿Æ´óѧҽѧϵ99 ¼¶¡¶²¡ÀíÉúÀíѧ¡·ÆÚÄ©¿¼ÊÔ v*
nX £¨±Õ¾í²¿·Ö£© =kspHP<k c!BiGw,; Èý.Ìî¿Õ£¨Ã¿¿Õ0.5 ·Ö£¬¹²5 ·Ö£© ~ 0x9`~
1.ÈËÌåˮƽºâÖ÷ÒªÓɿʸм°¿¹ÀûÄò¼¤Ëص÷½Ú£¬×ÅÑÛÓÚά³ÖѪ½¬µÈÉø £»¶øÄÆÆ½ºâÔòÖ÷ÒªÊÜÈ©¹Ìͪµ÷½Ú£¬×ÅÑÛÓÚά³Öϸ°ûÍâÒºÈÝÁ¿¼°×éÖ¯¹àÁ÷¡£ %@{);5[ 2.ѪҺÖеĻº³åϵͳÒÔ̼ËáÇâÑλº³åÏµÍ³ÖØÒª£¬ 4V7{5:oa µ«Ëü²»ÄÜ»º³å»Ó·¢Ëá¡£ [lsr[`SJ< 3.ÒýÆðÐÄÊÒ˳ӦÐÔ½µµÍµÄÖ÷ÒªÔÒòÊÇ£ºÊÒ±ÚÔöºñºÍ³É·Ö¸Ä±ä£¨Ñ×Ö¢¡¢Ë®Öס¢ÏËά»¯¼°¼äÖÊÔöÉúµÈ£©¡£ k.DDf
uKN ËÄ.µ¥Ñ¡Ì⣨ÿÌâ0.5 ·Ö£¬¹²3 ·Ö£© g=;c*{ 1.pH ½µµÍ¡¢AGÔö¸ß(>16)·´Ó³¿ÉÄÜ·¢ÉúÁË£º£¨ E£©P141 )h~MIpWR A.´úлÐÔ¼îÖж¾ B.ºôÎüÐÔËáÖж¾ C.ºôÎüÐÔ¼îÖж¾ [;D4,@A D.H+Ôö¶àµ¼ÖµĴúлÐÔËáÖж¾ E.HCO3-¶ªÊ§µ¼ÖµĴúлÐÔËáÖж¾ X}yEMe{T 2.ÂýÐÔÉö¹¦Äܲ»È«³£ÓгöѪÇãÏò£¬ÔÒòÖ®Ò»ÊÇ£º£¨ E£©¹ùÀϿμä }Xi
S:
A.ÏËάµ°°×Ô¼õÉÙ B.ÄýѪøԼõÉÙ C.ѪС°å¼ÆÊý¼õÉÙ Aov=qLWJ D.FDP Éú³É¹ý¶àE.ѪС°åÕ³×ź;ۼ¯¹¦ÄܼõÈõ /._wXH 3.ijЩ¸ÎÐÔÄÔ²¡»¼ÕßʹÓÃ×óÐý¶à°ÍµÄÄ¿µÄÊÇ£º£¨B £© 5M
~\'\; A.½µµÍѪ°±B.ÈëÄÔºóÐγÉÕý³£Éñ¾µÝÖÊ C.´ÙÖ§Á´°±»ùËáÈëÄÔ ~PUz/^^
s D.¼õÉÙ·¼Ïã°±»ùËáÈëÄÔ E.´Ù½øÄÔÄÚ°±µÄ·Ö½â´úл tLpDIA_8 4.άÉúËØB1ȱ·¦µ¼ÖÂÐÄË¥µÄ»úÀíÊÇ£º£¨E £© w*ig[{
I A.ÐÄÔ๩Ñõ²»×㣬´úлÕϰ B.ÐÄÔàȱѪ£¬´úлÕϰ C.ÐÄÔàºó¸ººÉ¹ýÖØ YXH9Q@Gn D.ÃÖÂþÐÔÐ¡±ä E.Ðļ¡ÉúÎïÑõ»¯¹ý³ÌÕϰ i+&*W{Re 5.Ðļ¡Ô¶ÐÄÐÔ·Ê´óͨ³£²»»á·¢ÉúÓÚ£º£¨ A£© n-dO |3, A.¸ßѪѹB.¼××´ÏÙ¹¦ÄÜ¿º½ø C.µÍÕÅÐÔȱÑõ D.ÑÏÖØÆ¶Ñª E.¶¯-¾²Âöðü Da)[mxJ 6.×óÐÄË¥½ßÒýÆðºôÎüÀ§ÄѵĻúÀíÖ÷ÒªÊÇ£º£¨ B£© g[j"]~ A.½»¸ÐÐ˷ܺôÎüÖÐÊà B.·ÎÓÙѪˮÖ× C.ȱÑõ·´ÉäÐԴ̼¤ºôÎüÖÐÊà Xb42R1 D.pH ½µµÍ,H+´Ì¼¤ºôÎüÖÐÊà E.PaCO2 Éý¸ß´Ì¼¤ºôÎüÖÐÊà &gkloP@ ËÄ.µ¥Ñ¡Ì⣨ÿÌâ0.5 ·Ö£¬¹²3 ·Ö£©--117 Bya!pzbpr 1.pH ½µµÍ¡¢AGÔö¸ß(>16)·´Ó³¿ÉÄÜ·¢ÉúÁË£º£¨E£© e.i5j^5u A.´úлÐÔ¼îÖж¾ B.ºôÎüÐÔËáÖж¾ C.ºôÎüÐÔ¼îÖж¾ 7vV3"uns D.H+Ôö¶àµ¼ÖµĴúлÐÔËáÖж¾ E.HCO3 LZy
Ulz -¶ªÊ§µ¼ÖµĴúлÐÔËáÖж¾ L^)&"6oSa x<"e} Oo 2.ÂýÐÔÉö¹¦Äܲ»È«³£ÓгöѪÇãÏò£¬ÔÒòÖ®Ò»ÊÇ£º£¨E £© 5 %q26& A.ÏËάµ°°×Ô¼õÉÙ B.ÄýѪøԼõÉÙ C.ѪС°å¼ÆÊý¼õÉÙ j%b/1@I D.FDP Éú³É¹ý¶à E.ѪС°åÕ³×ź;ۼ¯¹¦ÄܼõÈõ `Y/DttjL VVvV]rU~ 3.ijЩ¸ÎÐÔÄÔ²¡»¼ÕßʹÓÃ×óÐý¶à°ÍµÄÄ¿µÄÊÇ£º£¨B £© 4_`+& A.½µµÍѪ°±B.ÈëÄÔºóÐγÉÕý³£Éñ¾µÝÖÊ C.´ÙÖ§Á´°±»ùËáÈëÄÔ `Bnp/9q5 D.¼õÉÙ·¼Ïã°±»ùËáÈëÄÔ E.´Ù½øÄÔÄÚ°±µÄ·Ö½â´úл X#-U a>Uk<#>2?a 4.άÉúËØB1ȱ·¦µ¼ÖÂÐÄË¥µÄ»úÀíÊÇ£º£¨B£© zO2Z\E'%. A.ÐÄÔ๩Ñõ²»×㣬´úлÕϰ B.ÐÄÔàȱѪ£¬´úлÕϰ C.ÐÄÔàºó¸ººÉ¹ýÖØ R\MM2_I D.ÃÖÂþÐÔÐ¡±ä E.Ðļ¡ÉúÎïÑõ»¯¹ý³ÌÕϰ s*:J=+D]G f5Zx:g 5.Ðļ¡Ô¶ÐÄÐÔ·Ê´óͨ³£²»»á·¢ÉúÓÚ£º£¨?D £©ÅųýAB£¬µ«ÊÇCDEÇãÏòD£¬±¾ÈËÄÜÁ¦ÓÐÏÞ£¬Çë¸ßÈËÖ¸µãÀ²^_^ X&t)S?eCos A.¸ßѪѹB.¼××´ÏÙ¹¦ÄÜ¿º½ø C.µÍÕÅÐÔȱÑõ D.ÑÏÖØÆ¶Ñª E.¶¯-¾²Âöðü *\I?gDON 2IqsBK` 6.×óÐÄË¥½ßÒýÆðºôÎüÀ§ÄѵĻúÀíÖ÷ÒªÊÇ£º£¨B£© d5%A64? A.½»¸ÐÐ˷ܺôÎüÖÐÊà B.·ÎÓÙѪˮÖ× C.ȱÑõ·´ÉäÐԴ̼¤ºôÎüÖÐÊà fC2e}WR D.pH ½µµÍ,H+´Ì¼¤ºôÎüÖÐÊà E.PaCO2 Éý¸ß´Ì¼¤ºôÎüÖÐÊà 7Xm pq&g кÍ94²¡Éú£º f$N
udG!S
Ãû´Ê½âÊÍ£º GNqw]@'Yf
1²¡Àí¹ý³Ì2ºË»Æðã3ÄÚÔ´ÐÔÖÂÈÈÔ´ pA+W
8v#*
4ÒþÐÔË®Ö×5 CO2Âé×í EMmNlj6
¼ò´ðÌ⣺ uv}[MXOP
1¼òÊöµÍ¼ØÑªÖ¢Ê¹¹Ç÷À¼¡Âé×íµÄ»úÀí *;(LKRV
2´ÓÉöË¥·¢²¡µÄ»ù±¾»·½Ú·ÖÎöÐÝ¿Ëʱ·¢ÉúÉöË¥µÄ»úÀí¡£ v}IkY
3¼òÊöÒ¹¼äÕó·¢ÐÔºôÎüÀ§Äѵķ¢²¡»úÀí¡£ $OHY^IE(
4¼òÊö·ÇÐÄÔ´ÐÔÐݿ˹ý³ÌÖз¢ÉúÐÄË¥µÄ»úÖÆ¡£ Ni'vz7j
5¼±ÐÔDICʱΪºÎ³£°é·¢Ñ»·Ðݿˣ¿ hUcG3IOBf C+cSy'VIK!
´óÌâ¶àÔÚ»ùÒòÕï¶Ï£¬Õ³¸½·Ö×Ó£¬ÐźŴ«µ¼£¬µòÍöµÈ£¬¶øË®¡¢µç½âÖÊ£¬Ëá¼îƽºâµÈ½ÏÉÙ¡£ M ZB0vdx vX]\Jqy ²¡ÀíÉúÀí£º¼ÇµÃ²»È«£¬ÔõôҲÏë²»ÆðÀ´ÁË v-3In\T=^ Ãû´Ê½âÊÍ£º Di<KRg1W]} NOS;TNF-a; gXZ.je)NM ÎÊ´ð: G@oY2sM" ·ÎË®Ö׵ķ¢Éú»úÖÆ£» M])Y|}wv8 ¸ß¼ØºÍµÍ¼ØÑªÖ¤¶ÔÐÄÔàµÄÓ°Ï죻 ~(aQ!!H6 ÂýÐÔÉöË¥ÄòµÄ¸Ä±ä£» {j+w|;
dZF ×îºóÒ»µÀÌâºÍÏËάճÁ¬µ°°×Óйصģ¬¼Ç²»ÇåÁË n|Iy ÏËάÁ¬½Óµ°°×ºÍÔÚÑ×ÐÔ·´Ó¦ÖеÄ×÷Óà 5*x
k8* K3$83%E 2007кÍÒ½´óѧ²¡Éú²©Ê¿ÊÔÌâ :[m;#b
fD ¸Õ¸Õ½áÊø¿¼ÊÔ£¬³Ã×Å»¹¼ÇµÃ¸Ï¿ì·¢ÉÏÀ´£¬Ï£Íû¶Ô´ó¼ÒÓÐËù°ïÖú¡£ ^rMkCA@;TZ
Ìî¿Õ£¨20·Ö£©¡¢ÊÇ·Ç£¨10·Ö£©ºÍÑ¡ÔñÌ⣨9·Ö£©¾Í²»ËµÁË¡£ J4#t1P@Na
^]3Y11sI
Ãû´Ê½âÊÍ£º£¨2.5X10·Ö£© 4P(Y34j
1.¶àÆ÷¹Ù¹¦ÄÜË¥½ß F=U3o=-:
2.´Ùºìϸ°ûÉú³ÉËØ {1;j1|CI
3.ϸ°ûµòÍö s"#JBw\7
4.Õ³¸½·Ö×Ó v=E V5#A
5.¶þÑõ»¯Ì¼½áºÏÁ¦ t&T0E.kh*X
6.Ò»Ñõ»¯µªºÏø q{HfT
d
7.ϸ°ûÔöÖ³ X}Bo[YoY$
8.ȱÑõÓÕµ¼Òò×ÓHIF s]Nh9h
9.·ÎÐÔÄÔ²¡ L}*:,&Y/
10.ºË»Æðã o7)<