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59 2023-03-18
ȻcעҺôӣȻcעҺôʹãt(y)ˎW(wng)ѼP(gun)ȻcעҺf,ȻcעҺr,ȻcעҺX,ȻcעҺĹЧc,ȻcעҺ÷cˎƷϢȫԃʹã
ƷQ:ȻcעҺ
̖:ˎ08206904H
:aܺwҺƷڸNԭMʳwҺGʧ
÷:(yng)ͬr]ǺȻc÷1.ǵ÷(1)aܻijЩԭMʳpٻMʳrһ10%25%עҺo}עͬrawҺ(j)Ӌ(2)ȫo}IB(yng)Ǵ˯Ҫo|(zh)ڷǵ|(zh)c֬o֮Ȟ21wRҪQ(j)aҺҪǿ25%50%ͬȣҪrȍuÿ510gǼҎ(gu)ȍu1λڱƷ(yng)øߝBҺo}̼^ݔע֬鄩һx^Ĵo}io}i(ni)o}(3)ѪǰY߿50%עҺ2040mlo}ע(4)IͪYߑ(yng)5%25%עҺo}עÿ100gǿɻƲ(5)ʧˮȝBʧˮo5%עҺo}ע(6)ѪY(yng)10%25%עҺÿ24gǼ1λҎ(gu)ȍuݔעɽѪ⛝˯HʹxM뼚(ni)w(ni)⛺׃粻ȡ⛴ʩٴγF(xin)ѪYĿ(7)MÓˮߝBҺ(һ50%עҺ)o}ע2050mlö̕Rϑ(yng)עֹѪǣĿǰ{(dio)(ji)ĤҺBr50%עҺ20ml10gǿʹ1LĤҺB55mOsm/kgH2O༴Һǝÿ1%B55mOsm/kgH2O2.Ȼc÷(1)ߝBʧˮߝBʧˮrXXҺBίʹѪ{ͼҺcȺ͝B^½Xˮ[һJ飬ί_ʼ48Сr(ni)Ѫ{cÿСr½^0.5mmol/Lߴݿ(yng)ȻcעҺazwݿ˼mѪc>155mmol/LѪ{B>350mOsm/L0.6%͝BȻcעҺѪ{B
ͨQ
ȻcעҺ
Σ
?aܺwҺƷڸNԭMʳwҺGʧ
÷
(yng)ͬr]ǺȻc÷
1.ǵ÷
(1)aܻijЩԭMʳpٻMʳrһ10%25%עҺo}עͬrawҺ(j)Ӌ
(2)ȫo}IB(yng)Ǵ˯Ҫo|(zh)ڷǵ|(zh)c֬o֮Ȟ21wRҪQ(j)aҺҪǿ25%50%ͬҪrȍuأÿ510gǼҎ(gu)ȍu1λڱƷ(yng)øߝBҺo}̼^ݔע֬鄩һx^Ĵo}io}i(ni)o}
(3)ѪǰY߿50%עҺ2040mlo}ע
(4)IͪYߑ(yng)5%25%עҺo}עÿ100gǿɻƲ顣
(5)ʧˮȝBʧˮo5%עҺo}ע
(6)ѪY(yng)10%25%עҺÿ24gǼ1λҎ(gu)ȍuݔעɽѪ⛝˯HʹxM뼚(ni)w(ni)⛺׃粻ȡ⛴ʩٴγF(xin)ѪYĿ
(7)MÓˮߝBҺ(һ50%עҺ)o}ע2050mlö̕Rϑ(yng)עֹѪĿǰá{(dio)(ji)ĤҺBr50%עҺ20ml10gǿʹ1LĤҺB55mOsm/kgH2O༴Һǝÿ1%B55mOsm/kgH2O
2.Ȼc÷
(1)ߝBʧˮߝBʧˮrXXҺBίʹѪ{ͼҺcȺ͝B^½Xˮ[һJ飬ί_ʼ48Сr(ni)Ѫ{cÿСr½^0.5mmol/Lߴݿ(yng)ȻcעҺazwݿ˼mѪc>155mmol/LѪ{B>350mOsm/L0.6%͝BȻcעҺѪ{B<330mOsm/L0.9%ȻcעҺaҺ(j)йʽӋ㣬酢
aҺ(L)=[Ѫc(mmol/L)-142]0.6w(kg)Ѫc(mmol/L)
һһaoԺ23Ճ(ni)ao(j)ķI{(dio)(ji)
(2)ȝBʧˮԭtoȝBҺ0.9%ȻcעҺ(f)ȻcעҺҺȝ@Ѫ{Ϊʹÿ¸ѪYʿɌ0.9%ȻcעҺ1.25%̼c1.86%(1/6M)c73ıƺaoȝȞ107mmol/LɼmxжaoɰwػteӋ酢
ٰwӋ㣺aҺ(L)=(w½(kg)142)/154
ڰteӋ㣺aҺ(L)=(Hte-tew(kg)0.2)/teteԞ48%Ů42%
(3)͝Bʧˮص͝BʧˮrX(ni)|(zh)pԾSּݷeίʹѪ{ͼҺcȺ͝BѸٻXpһJѪc120mmol/LrίʹѪcٶÿСr0.5mmol/L^ÿСr1.5mmol/L
Ѫc120mmol/LrF(xin)И(jng)ϵy(tng)Yrɽo3%5%ȻcעҺעһҪ6Сr(ni)Ѫc120mmol/Lϡac(mmol/L)[142-HѪc(mmol/L)]w(kg)0.2Ѫc120125mmol/LɸõȝBҺȝBҺߝBעҺ10%ȻcעҺ
(4)Aжo0.9%ȻcעҺ(f)ȻcעҺ(ָҺ)5001000mlԺ(j)AжrQ
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8.늽|(zh)ɁyLچμaoǕr׳F(xin)cѪY
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ע헣
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(2)I˥ڣI˥pٶˎ(yng)
(3)Ѫ
(4)ѪY
(5)˺СaҺٶȑ(yng)
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(1)Ѫcȝȡ
(2)ѪҺAƽָ
(3)I
(4)Ѫķιܡ
3.rע^ǿɴ̼̥ȍuطl(f)a(chn)냺Ѫ
4.rã
(1)ѪY
(2)(yng)B(ti)(yng)Ƥ|(zh)ؕrTl(f)Ѫǡ
(3)ˮ[IܲȫӲˮˮ(yng)ݔҺĹܲȫȑ(yng)Ƶ١
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Ʒ(f)Ƅ(ni)cȻc
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aҺٶȑ(yng)
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aҺٶȑ(yng)
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δMԓ헌ҟoɿīI
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wҪğԴ֮һ.cǙCw(ni)Ҫ늽|(zh),ҪڼҺ,SwѪҺͼҺ͝BdzҪ
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ˎW(xu)
Mw(ni)wÿ6mg/kg