Stewart's acid-base approach

被引：12
作者：
Funk, Georg-Christian [1 ]
机构：
[1] Otto Wagner Spital, Erste Interne Lungenabt, A-1140 Vienna, Austria
来源：
WIENER KLINISCHE WOCHENSCHRIFT | 2007年 / 119卷 / 13-14期
关键词：
acid-base; acidosis; alkalosis; strong ion differences;
D O I：
10.1007/s00508-007-0811-6
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In addition to paCO(2), Stewart's acid base model takes into account the influence of albumin, inorganic phosphate, electrolytes and lactate on acid-base equilibrium. It allows a comprehensive and quantitative analysis of acid-base disorders. Particularly simultaneous and mixed metabolic acid-base disorders, which are common in critically ill patients, can be assessed. Stewart's approach is therefore a valuable tool in addition to the customary acid-base approach based on bicarbonate or base excess. However, some chemical aspects of Stewart's approach remain controversial.
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页码：390 / 403
页数：14
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