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首页> 外文期刊>Journal of intensive care medicine >Comparative quantitative acid-base analysis in coronary artery bypass, severe sepsis, and diabetic ketoacidosis.
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Comparative quantitative acid-base analysis in coronary artery bypass, severe sepsis, and diabetic ketoacidosis.

机译:冠状动脉旁路,严重脓毒症和糖尿病酮症病毒中的比较定量酸碱分析。

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The main objective of this study was to assess the relationship of standard base excess (SBE) to delta strong ion difference effective (DeltaSIDe) in critical illness. Critical illness is characterized by variable plasma nonvolatile weak acid components (DeltaA(-)), and SBE becomes discordant with DeltaSIDe. The author hypothesized that both acid-base models are equivalent when SBE and DeltaSIDe are corrected for DeltaA(-). A retrospective chart review was performed to assess this hypothesis by looking at changes in SBE, DeltaSIDe, and DeltaA(-) in 30 coronary artery bypass graft surgery patients, 30 severe sepsis patients, and 15 diabetic ketoacidosis patients. SBE equals the sum of the DeltaSIDe and DeltaA(-). The SBE quantifies the magnitude of the metabolic acid-base derangement, the DeltaSIDe quantifies the plasma strong cation/anion imbalance, and the DeltaA(-) quantifies the magnitude of the hypoalbuminemic alkalosis. The partitioning of SBE into physicochemical components can facilitate analyses of complex acid-base disorders in critical illness.
机译:本研究的主要目的是评估标准碱过量(SBE)对临时疾病中的δ强离子差异(Deltaside)的关系。危重疾病的特征在于可变血浆非挥发性弱酸组分(Deltaa( - )),SBE与迄今为止变得不和谐。作者假设酸基型号在Deltaa( - )纠正SBE和DELTASIDE时等同。通过在30名冠状动脉旁路移植手术患者,30名严重败血症患者和15名糖尿病酮症患者中观察SBE,DELTASIDE和DELTAA( - )的变化来进行回顾性图表审查以评估这一假设。 SBE等于Deltaside和Deltaa( - )的总和。 SBE量化了代谢酸碱紊乱的幅度,脱发剂量化了血浆强阳离子/阴离子不平衡,并且Deltaa( - )量化了低恶霉素碱性碱性病的幅度。 SBE进入物理化学成分的分配可以促进危重疾病中复合酸碱疾病的分析。

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