?????????!

??3.5mmol/L???2mmol/L?????????????50-100mmol90?????????????????????????????????????????????3.55.5mmol/L?4.2mmol/L???3.5mmol/L??????????????????????????????????
 
 

1???????????????????????????????????????????????????????47???20mmol/L?710?510mmol/L??38150mmol/L

2?
?????????????????K+???3...

??130???????????????????????N???SIADH??????????????????????
????????????????????????????????????????????????????????
???????23?????120????3??????????SIADH??????
???120mmol/L??130mmol/L??135mmol/L
???35mmolL?????????????????????????????NaCa?????????????????30ml????
?
1.????????? 2.??????^ 3.????? 4...

?????????????????
??   2010-09-15 23:03 ???????
??   2010-09-15 23:04 ????
???   2010-09-15 23:08 ??????

?????????????????????????????
????????????????130???

? ??????????????,??????.???????????
?? ??130???

?????:

??[HCO3-]?

1.??

(1)???????????HCl??HClH+??CO2+H2OH2CO3H+HCO3-?Cl-?????????H+Cl-?HCl?HCl??????NaHCO3???H+????HCl????NaHCO3??????NaHCO3HCl???[HCO3-]?????[HCO3-]??

????Cl+K+????????????Cl-???HCO3-???K+???H+????????Na+??H+K+??

2H+??H+?????????????H+K+,?Na+?H+?H2COH3H+HCO3-??HCO3-??Na+??...