液体疗法双语班ppt.pptVIP

液体疗法 Infantile Liquid Therapy 珠江医院儿科 方素珍 Short answer questions What’s the Characteristics of infantile body fluid balance? 小儿体液平衡有什么特点？ Why do we have to care about the tension of solution in therapy for children？ 为什么儿科补液需要强调特殊的张力？ What’s the relationship between solution tension and electrolytes ？ 液体张力与电解质浓度间有什么关系？ What’s the parameter of isotonic solution？ 等张液体的标准是什么？ Short answer questions ? How to calculate the tension of mixed solution？ 如何计算混合液体的张力？ ? How to make up the common mixed solution of liquid therapy? 如何配制不同张力的混合液体？ ? What’s the principals of liquid therapy of infantile diarrhea？ 腹泻病的液体疗法？ Objective目标 Characteristic of Infantile Body Fluid Balance 了解小儿体液平衡特点 Pathophysiology of Infantile Fluid, Electrolyte Acid-base Imbalance 熟悉小儿水电紊乱的病理生理 Clinical menifestations of Infantile Fluid , Electrolyte Acid-base Disorders 掌握小儿水电紊乱的临床表现 Common Solution Component of Liquid Therapy 熟悉液体疗法中常用张力液体的配制 Liquid Therapy of Infantile Diarrhea 掌握小儿腹泻的液体疗法 body fluid TBW: total body water 全身体液 ISF: interstitial fluid 间质液 ICF: intracellular fluid 细胞内液 ECF: extracellular fluid 细胞外液 TBW = ECF+ICF ECF = ISF + Plasma volume 小儿体液分布 体液总量及分布 不同年龄的体液分布(占体重%) a 年龄 总量 血浆 间质液 细胞内液 足月儿 78 6 37 35 1岁 70 5 25 40 2-14岁 65 5 20 40 成人 60 5 15 40 a 1.年龄愈小,体液总量相对愈多,间质液比例相对愈大 2.电解质 组成与成人同 The principal constituents of body liquid Plasma: sodium(Na+), chloride(Cl-), bicarbonate(NaHCO3), protein --. ICF: potassium(K+), phosphates(HPO42-), magnesium(Mg2+), protein – ISF: similar to plasma