呼吸性酸中毒评估

最后审阅: 22 Nov 2024
最后更新: 31 Jan 2023

小结

鉴别诊断

常见

  • 慢性阻塞性肺疾病 (COPD)
  • 多叶性肺炎
  • 误吸异物
  • 药物使用(毒品、酒精、镇静剂、麻醉剂)
  • COPD 氧疗
  • 中枢神经系统梗死或出血
  • 头部创伤
  • 中枢神经系统感染
  • 肥胖通气不足综合征
  • 胸膜腔积液
  • 气胸
  • 肥胖
  • 脊柱后侧凸
  • 低钾血症
  • 低磷血症
  • 机械通气不当
完整详情

不常见

  • 心源性肺水肿
  • 急性肺损伤/急性呼吸窘迫综合征
  • 肺纤维化
  • 哮喘持续状态
  • 喉痉挛
  • 血管性水肿
  • 原发性肺泡通气不足
  • 脓胸
  • 血胸
  • 连枷胸
  • 硬皮病
  • 强直性脊柱炎
  • 纤维胸
  • 甲状腺功能减退
  • 麻痹剂和有机磷酸盐
  • 高位脊髓外伤/病变(C4 以上)
  • 吉兰-巴雷综合征
  • 多发性硬化
  • 重症肌无力
  • 肌营养不良症
  • 肌萎缩侧索硬化
  • 多肌炎与皮肌炎
  • 膈神经创伤
  • 破伤风
  • 肉毒中毒
  • 脊髓灰质炎
  • 脓毒症
  • 发热/恶性高热
  • 将 CO₂ 注入体腔(例如腹腔镜手术)
完整详情

撰稿人

作者

M. Bradley Drummond, MD

Associate Professor

Pulmonary and Critical Care Medicine

University of North Carolina at Chapel Hill

Chapel Hill

NC

利益声明

MBD declares that he has no competing interests.

Eddy Fan, MD, PhD

Associate Professor of Medicine

Interdepartmental Division of Critical Care Medicine

University of Toronto

Toronto General Hospital

Toronto

Canada

利益声明

EF has received fees from MC3 Cardiopulmonary and ALung Technologies.

同行评议者

Guy Soo Hoo, MD, MPH

Director

Intensive Care Unit

West Los Angeles VA Healthcare Center

Clinical Professor of Medicine

Geffen School of Medicine

UCLA

Los Angeles

CA

利益声明

GSH declares that he has no competing interests.

Harman Paintal, MBBS

Division of Pulmonary and Critical Care Medicine

Veterans Affairs Palo Alto Health Care System (VAPAHCS)

Palo Alto

CA

利益声明

HP declares that he has no competing interests.

Patrick J. Neligan, MA, MB BCh, FCARCSI, FJFICM

Consultant in Anaesthesia and Intensive Care

Galway University Hospitals

Senior Lecturer in Anaesthesia

National University of Ireland

Galway Department of Anaesthesia and Intensive Care

University College Hospitals

Galway

Ireland

利益声明

Not disclosed.

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