Sponsored Links
This presentation is the property of its rightful owner.
1 / 67

内分泌代谢功能的监测 PowerPoint PPT Presentation


  • 85 Views
  • Uploaded on
  • Presentation posted in: General

内分泌代谢功能的监测. 郧阳医学院附属太和医院麻醉科 李 清. Monitoring of endocrine&metabolism function. 内分泌系统是人体内重要调节系统,使人体在复杂多变的生活环境中维持物质代谢和体内环境的动态平衡 创伤、感染、手术和麻醉使内分泌系统失调,尤以原有内分泌疾病者影响更大. 内分泌功能检查目的. 了解手术麻醉前病人内分泌功能状态有无异常并确定其性质及其严重程度 估计外科手术病人的 手术麻醉耐受性和安全性 ,以便作好麻醉前准备工作. 检查的内容. 病史 :家族史、遗传史、个人病史和手术史

Download Presentation

内分泌代谢功能的监测

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Monitoring of

endocrine&metabolism function




  • XCT





    • 24

    • 24



  • ADH

  • ()ADH,


TRH TRH(TSH),T3T4

ACTH

  • ACTH ACTH

  • ACTH ACTH


()ACTH: ACTH

  • ACTHACTH(17-OHCS)


  • 17-OHCS

  • 17-OHCS

  • ACTH


()

  • DXM(CRH)ACTHDXMCRHACTH17-OHCS


  • 17-OHCS50

  • 110nmol/L50


()

  • >50<50ACTH

    --


()

  • (cortisol)8AM


  • :

    • (CBG)

    • ACTHACTH

  • :

    • CBG



  • NANACA

  • CA546pmol/L


3--4(VMA)

  • VMANAVMANA

  • 5.045.4mol/24h

  • 50.51262.5 mol/24h


()T4(TT4) 60180nmol/L


TT4

  • 23

  • -


TT4

  • TT4


()T3(TT3)

  • 12-3.4nmol/L2.15nmol/L

  • TT3

  • TT3


()


  • 31

  • 75g250ml(1.75g/kgg2.5ml)123


  • 6.67mmol/L19.52mmol/L2(7.28mmol/L)3

  • 7.84mm01/L110mmol/L27.28mmol/L

  • 7.84mmol/L


()

  • 50(0.5g/kg)3--530

  • 1/2123


  • 1/211.1013.88mmol/L2

  • 27.77mmol/L


()-

  • B

  • 1/2123


  • 5~25mU/L17103

  • 2~3




  • ()()()



  • CO2


()


()()


1

  • (Sheehans syndrome)


2


  • C02

  • 504060ml

  • 300-500mg/24hiv200-300mg/24hiv


()

  • 12-36BMR12


1


2

  • 39120-140bpm

  • 40140-160bPm


3

  • 24~48


()

  • 1.

  • 60705l0l


1)


2)

  • RR()

  • pH<7.25<6.8C02BEBUN


3)


4)


5)

  • iv4050U4050U30U30U2040U4pHCO211223341


6)

  • 46U10002000mi34200mgdl(11.2mmol/L)1000ml2428


7)

  • (pH<7.1HCO3<5-10mmol/LCO210vol-15vol)2pH7.2 CO230vol,


2

  • l/61/10


1)


2)

  • 33.6mmol/L(600mg/dL)


  • 3)

  • CVP


()()

  • 1~2


1

  • ()


2

  • 160bpm

  • 40

  • NaCl


3

  • 6

  • 504060mi


()

  • 1


2

  • 250mmHg1

  • EKG


3

  • CO2

  • BPPEKG1/3200mmHg



Bye.


  • Login