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acidosis with metabolic alkalosis

acidosis with metabolic alkalosis

For rapid improvement in respiratory acidosis with metabolic alkalosis in patients with body homeostasis, the pH value of the treatment will be corrected soon. Application of hollow fiber artificial kidney, choose low-HCO_3 ~ - dialysis solution, the use of dialysis fluid and blood between the HCO_3 ~ - concentration gradient is different from the blood too much HCO_3 ~ - dialysis out; while dialyzer and microporous polypropylene film combined application of artificial lungs, and expel excess CO_2 increased arterial oxygen partial pressure (PO_2). Results: After bypass and 120 minutes compared with the pre CPB, HCO_3 ~ -, carbon dioxide partial pressure (PCO_2), PO_2 were significant differences (P <0.05 or <0.01). Tip: and used membrane artificial lung and artificial kidney is the treatment of respiratory acidosis with metabolic alkalosis, a new method of treatment.Keywords: R459.5
DOI: cnki: ISSN :1003-0603 .0.3
Snapshot text:
Respiratory acidosis with metabolic alkalosis are mostly chronic respiratory acidosis final performance of late, the mortality is very high, There is no better treatment. This study was designed artificial kidney to the metabolism of the body too alkaline discharge'''''', while combined application of polypropylene hollow fiber membrane artificial lungs, improve blood oxygen pressure (PO.), Reduce carbon dioxide Medicine (PCO.), in order to rapidly improve the body''s homeostasis, the PH value of the soon to be corrected. Reported below. 1

Materials and methods randomly selected nine dogs (19 Zkg), intravenous thiopental 2.5% sales 20ml, by mouth into the single lumen endotracheal tube, connecting high-frequency ventilation, inhaled air (provided by the air compressor pressure 1.2X10 ''Pa), respiratory rate 80 beats / min, tidal volume (V,) 180ml / times [or per .
This study aimed at seeking an approach to therapid correction of abnormal pH by quickly improvingthe homeostasis of the patients with respiratory acidosisassociated with metabolic alkalosis. Using hollowfiber artificial kidney, we selected the dialytic solutionlow in HCO_3 ~ - concentration in the experiment. Becauseof the difference between the HCO_3 ~ - concentrationgradients in the dialytic solution and blood, the excessiveHCO_3 ~ - was dialyzed out of the blood. In the presentstudy, a system consisting of a hemodialyzer and amicroporous polypropylene membrane oxygenator wasuser to remove the excessive canbon dioxide and to increasethe arterial oxygen partial pressure (PaO_2). Theresults after transferring for 30 '', 60'', 90 ''and 120'' werecompared with those before transference. There was anevident difference between the levels of arterial HCO_3 ~ -, PaO_2, PaCO_2 before and after transference (P
Metabolic alkalosis (metabolic alkalosis) is reduced or non-volatile acids in the extracellular fluid due to the increase of alkali, its main feature is the plasma HCO3-concentration increased, PaCO2 compensatory rise. Can stand alone, can also be mixed with respiratory acidosis. The main compensatory mechanism of respiratory CO2 retention and renal excretion of bicarbonate and retention of H +. Metabolic alkalosis symptoms of finger numbness, tingling, spasms and arrhythmia brachiopods. But often overshadowed by the original disease. Those with low calcium, tetany can occur; with low potassium, could occur polyuria, polydipsia, and paralysis; with low capacity, could occur postural dizziness and muscle weakness. In severe cases, there may be vague consciousness, unresponsive, even delirium.1. Hydrogen ions losing too much
(1) loss of gastric juice: is common in high intestinal obstruction pyloric obstruction or vomiting when the direct loss of gastric acid (HCl). Gastric wall cells to produce HCl, H is the gastric parietal cells by the CO2 H2O
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