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60 2023-03-18
ȻcעҺôȻcעҺôʹãt(y)ˎW(wng)ѼP(gun)ȻcעҺf,ȻcעҺr,ȻcעҺX,ȻcעҺĹЧc,ȻcעҺ÷cˎƷϢȫԃʹ
ƷQ:ȻcעҺ
̖:ˎ4204036H0
:ƷNԭµʧˮ͝BȝBԺߝBʧˮߝBԷͪYõȝB͝BȻcɼmʧˮߝBB(ti)ԴxԉAж}ˮ_ϴ۲ϴڵ߀ڮa(chn)Ƶˮa(chn)
÷:1.ߝBʧˮߝBʧˮrXXҺBߣίʹѪ{ͼҺcȺ͝B^½Xˮ[һJ飬ί_ʼ48Сr(ni)Ѫ{cÿСr½^0.5mmol/LߴݿȻcעҺazwݿ˼mѪc>155mmol/LѪ{B>350mOsm/L0.6%͝BȻcעҺѪ{B
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ȻcעҺ
Σ
?ƷNԭµʧˮ͝BԡȝBԺߝBʧˮߝBԷͪYõȝB͝BȻcɼmʧˮߝBB(ti)ԴxԉAж}ˮ_ϴ۲ϴڵȣ߀ڮa(chn)Ƶˮa(chn)
÷
1.ߝBʧˮߝBʧˮrXXҺBίʹѪ{ͼҺcȺ͝B^½Xˮ[һJί_ʼ48Сr(ni)Ѫ{cÿСr½^0.5mmol/L
ߴݿȻcעҺazwݿ˼mѪc>155mmol/LѪ{B>350mOsm/L0.6%͝BȻcעҺѪ{B<330mOsm/L0.9%ȻcעҺaҺ(j)йʽӋ酢
aҺ(L)=[Ѫc(mmol/L)-142]0.6w(Kg)
һһaoԺ23Ճ(ni)ao(j)ķI{(dio)(ji)
2.ȝBʧˮԭtoȝBҺ0.9%ȻcעҺͷȻcעҺҺȝ@Ѫ{Ϊʹÿ¸ѪYʿɌ0.9%ȻcעҺ1.25%̼c1.86%(1/6M)c73ıƺaoȝȞ107mmol/LɼmxжaoɰwػteӋ酢
(1)wӋ㣺aҺ(L)=[w½(kg)142]/154
(2)teӋ㣺aҺ(L)=[Hte-tew(kg)0.2]/teteԞ48%ŮԞ42%
3.͝Bʧˮص͝BʧˮrX(ni)|(zh)pԾSּݷeίʹѪ{ͼҺcȺ͝BѸٻXpһJѪc120mmol/LrίʹѪcٶÿСr0.5mmol/La^ÿСr1.5mmol/L
Ѫc120mmol/LrF(xin)И(jng)ϵy(tng)Yrɽo3%5%ȻcעҺעһҪ6Сr(ni)Ѫc120mmol/Lac(mmol/L)[142HѪc(mmol/L)]w(kg)0.2Ѫc120125mmol/LɸõȝBҺȝBҺߝBעҺ10%ȻcעҺ
4.ԉAжo0.9%ȻcעҺͷȻcעҺ(ָҺ)5001000mlԺ(j)AжrQ
5.ãȻcҺϴ_ϴ۲
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(1)ˮ[ԼICӲˮѪ˥˥Xˮ[ذl(f)ˮ[
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ȻcһN늽|(zh)aˎcǙCwҪ늽|(zh)ҪڼҺSѪҺͼҺ͝BdzҪѪcȞ135145mmol/LռѪ{xӵ92%B90%Ѫ{cBQѪȝȞ98106mmol/LwcxҪͨ^Xw~IKM{(dio)(ji)SwҺ͝Bķ(wn)
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