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1、Fluid-Electrolyte-Acid-baseManagementGeneralsurgerydepartmentThefirstaffiliatedhospitaltoSoochowUniversityoverviewcompositionsofbodyfluidregulationsoffluidbalanceacid-basebalanceimportanceoffluidbalanceContentsofdiscussfluid-electrolyte-acid-basemanagement——catalogadjustoff
2、luidmetabolismdemonstratechartsbasicprinciplesoftreatmentsNormalbodyfluid,osmoticpressureandelectrolytearethebasisofbodymetabolismandorganfunctions.Trauma,operationandmanyclinicaldisordersleadtofluid,electrolyteandacid-baseimbalance,managementoftheseproblemsisaveryimportant
3、matterinthesurgicaltherapy.-1fluid-electrolyte-acid-basemanagement——overviewMaincomponentsofthebodyfluidarewaterandelectrolytes.Bodyfluidisdividedintointracellularfluidandextracellularfluid.Musclecontainsmuchwater.(75％-80％)Fatcontainslesswater.(10％-30％)fluid-electrolyte-aci
4、d-basemanagement——compositionsofbodyfluidAbout60％ofweightofadultmaleisbodyfluid；about55％ofweightofadultfemaleisbodyfluid；about80％ofweightofinfantisbodyfluid；after14yearsold,childrenareneartomanhood.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidMostintracellu
5、larfluidisinskeletalmuscle;intracellularfluidaccount40%ofbodyweightformale,forfemaleis35%.Extracellularfluidaccount20%ofbodyweightforbothofmaleandfemale.Extracellularfluidisfurtherdividedintoplasmaandinterstitialfluid;plasmaoccupy5%ofbodyweight;Interstitialfluidoccupy15%ofb
6、odyweight.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidMostofinterstitialfluidcanexchangewithplasmaorintracellularfluidquickly,andgettobalance,whichisveryimportantinfluidandelectrolytemanagement,calledfunctionalextracellularfluid.fluid-electrolyte-acid-base
7、management——compositionsofbodyfluidOtherinterstitialfluidcanonlyexchangeandgettobalanceslowly,theyhavedifferentfunctions,buttheyarelessimportantinthemaintainofbodyfluidbalance,callednonfunctionalextracelluarfluid.Connectivetissuefluidandpenetrablefluidofcell,e.g.cerebrospin
8、alfluid,synovialfluidanddigestivejuice,andsoon,areallcallednonfunctionalextracellu
