???

??,???:
1.???,????.
1.????,????,???.
2.?,?,?????(?,,),????.
3.??,,,,????.
4.????,?,?;???,?.
5.?3-5?1,??1-2??;?,??,?d,????.
???????????????????X?????????????????X??????????????????????
?????????????????CT???CT???????????????
?????????????????????????????????????

????????????????
???????38?????????38?????
??1????????????R???????2??????????????????3???????????4???????????????
????????????????
??????????


????????

???????
????????????????????

????????
??????30?
??????????????????

?????????????T???????????????????????????????3000??????????????????????????3000?????????????????????????????????????????????????????
????????????????????????
?????????????????????????????????????????????????????

? ???

????????????????????????????????

?????

?????????????????????????????????????...

????????
???????????R,????????????????????13.9mmol/L250mg/dl????????5mmol/L?/??30???0.045-0.145mmol/L???10mmol/L?pH?????????18mmol/L
??????????
?
?
1.??? 2.??? 3.???????

1.????????? 2.????????3.??????
???H2CO3??????????
a.???R????
b.????]??
c.CO2???????Na+??K+???????
d.????pH??PCO2?CO2CPBESBBB?...

????????,????,???:1.????????????????????????????

2.??????????????????38??????????

3.????????????????????

4.???1-2???????????????????T?????????
?
??????