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1、Fluid-Electrolyte-Acid-baseManagementGeneralsurgerydepartmentThefirstaffiliatedhospitaltoSoochowUniversityoverviewcompositionsofbodyfluidregulationsoffluidbalanceacid-basebalanceimportanceoffluidbalanceContentsofdiscussfluid-electrolyte-acid-basemanagement——catalogadjustoffluidm
2、etabolismdemonstratechartsbasicprinciplesoftreatmentsNormalbodyfluid,osmoticpressureandelectrolytearethebasisofbodymetabolismandorganfunctions.Trauma,operationandmanyclinicaldisordersleadtofluid,electrolyteandacid-baseimbalance,managementoftheseproblemsisaveryimportantmatterinth
3、esurgicaltherapy.-1fluid-electrolyte-acid-basemanagement——overviewMaincomponentsofthebodyfluidarewaterandelectrolytes.Bodyfluidisdividedintointracellularfluidandextracellularfluid.Musclecontainsmuchwater.(75％-80％)Fatcontainslesswater.(10％-30％)fluid-electrolyte-acid-basemanagemen
4、t——compositionsofbodyfluidAbout60％ofweightofadultmaleisbodyfluid；about55％ofweightofadultfemaleisbodyfluid；about80％ofweightofinfantisbodyfluid；after14yearsold,childrenareneartomanhood.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidMostintracellularfluidisinskeletal
5、muscle;intracellularfluidaccount40%ofbodyweightformale,forfemaleis35%.Extracellularfluidaccount20%ofbodyweightforbothofmaleandfemale.Extracellularfluidisfurtherdividedintoplasmaandinterstitialfluid;plasmaoccupy5%ofbodyweight;Interstitialfluidoccupy15%ofbodyweight.fluid-electroly
6、te-acid-basemanagement——compositionsofbodyfluidMostofinterstitialfluidcanexchangewithplasmaorintracellularfluidquickly,andgettobalance,whichisveryimportantinfluidandelectrolytemanagement,calledfunctionalextracellularfluid.fluid-electrolyte-acid-basemanagement——compositionsofbody
7、fluidOtherinterstitialfluidcanonlyexchangeandgettobalanceslowly,theyhavedifferentfunctions,buttheyarelessimportantinthemaintainofbodyfluidbalance,callednonfunctionalextracelluarfluid.Connectivetissuefluidandpenetrablefluidofcell,e.g.cerebrospinalfluid,synovialfluidanddigestiveju
8、ice,andsoon,areallcallednonfunctionalextracellu
