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ID:26251015
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页数:53页
时间:2018-11-25
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1、Fluid-Electrolyte-Acid-baseManagementGeneralsurgerydepartmentThefirstaffiliatedhospitaltoSoochowUniversityoverviewcompositionsofbodyfluidregulationsoffluidbalanceacid-basebalanceimportanceoffluidbalanceContentsofdiscussfluid-electrolyte-acid-basemanagement——catalogadjustoffluidmetabolismdemonstratec
2、hartsbasicprinciplesoftreatmentsNormalbodyfluid,osmoticpressureandelectrolytearethebasisofbodymetabolismandorganfunctions.Trauma,operationandmanyclinicaldisordersleadtofluid,electrolyteandacid-baseimbalance,managementoftheseproblemsisaveryimportantmatterinthesurgicaltherapy.-1fluid-electrolyte-acid-
3、basemanagement——overviewMaincomponentsofthebodyfluidarewaterandelectrolytes.Bodyfluidisdividedintointracellularfluidandextracellularfluid.Musclecontainsmuchwater.(75%-80%)Fatcontainslesswater.(10%-30%)fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidAbout60%ofweightofadultmaleisbodyflui
4、d;about55%ofweightofadultfemaleisbodyfluid;about80%ofweightofinfantisbodyfluid;after14yearsold,childrenareneartomanhood.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidMostintracellularfluidisinskeletalmuscle;intracellularfluidaccount40%ofbodyweightformale,forfemaleis35%.Extracellularf
5、luidaccount20%ofbodyweightforbothofmaleandfemale.Extracellularfluidisfurtherdividedintoplasmaandinterstitialfluid;plasmaoccupy5%ofbodyweight;Interstitialfluidoccupy15%ofbodyweight.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidMostofinterstitialfluidcanexchangewithplasmaorintracellula
6、rfluidquickly,andgettobalance,whichisveryimportantinfluidandelectrolytemanagement,calledfunctionalextracellularfluid.fluid-electrolyte-acid-basemanagement——compositionsofbodyfluidOtherinterstitialfluidcanonlyexchangeandgettobalanceslowly,theyhavedifferentfunctions,buttheyarelessimportantinthemaintai
7、nofbodyfluidbalance,callednonfunctionalextracelluarfluid.Connectivetissuefluidandpenetrablefluidofcell,e.g.cerebrospinalfluid,synovialfluidanddigestivejuice,andsoon,areallcallednonfunctionalextracellu
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