{"id":777,"date":"2020-01-06T15:05:15","date_gmt":"2020-01-06T11:35:15","guid":{"rendered":"https:\/\/eqlimdanesh.com\/fa\/?p=777"},"modified":"2020-01-06T15:17:42","modified_gmt":"2020-01-06T11:47:42","slug":"777","status":"publish","type":"post","link":"https:\/\/eqlimdanesh.com\/fa\/1398\/10\/16\/777\/","title":{"rendered":"\u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0648 \u0627\u0647\u0645\u06cc\u062a \u0622\u0646 \u062f\u0631 \u062a\u0633\u062a \u06af\u0627\u0632\u0647\u0627\u06cc \u062e\u0648\u0646\u06cc"},"content":{"rendered":"

\u0645\u0642\u062f\u0627\u0631 \u0646\u0631\u0645\u0627\u0644 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a mmol\/l 27-24 \u0627\u0633\u062a. \u0642\u0633\u0645\u062a \u0627\u0639\u0638\u0645 \u00a0CO2 (\u062a\u0642\u0631\u06cc\u0628\u0627 \u06f9\u06f0 \u062f\u0631\u0635\u062f) \u062f\u0631 \u062e\u0648\u0646 \u0628\u0647 \u0634\u06a9\u0644 HCo3<\/sub>–<\/sup> \u0645\u0648\u062c\u0648\u062f \u0627\u0633\u062a. \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0639\u0645\u062f\u0647 \u062a\u0631\u06cc\u0646 \u0648 \u0645\u0647\u0645\u200c\u062a\u0631\u06cc\u0646 \u0628\u0627\u0641\u0631 \u062e\u0648\u0646 \u0645\u06cc \u0628\u0627\u0634\u062f. \u0637\u0628\u0642 \u0631\u0627\u0628\u0637\u0647 \u0647\u0646\u062f\u0631\u0633\u0648\u0646 \u2013 \u0647\u0627\u0633\u0644\u0628\u0627\u062e \u0628\u0627 \u0627\u0641\u0632\u0627\u06cc\u0634 \u0645\u0642\u062f\u0627\u0631 HCo3<\/sub>–<\/sup> \u060c PH \u062e\u0648\u0646 \u0627\u0641\u0632\u0627\u06cc\u0634 \u0645\u06cc \u06cc\u0627\u0628\u062f \u0648 \u0628\u0627 \u06a9\u0627\u0647\u0634 \u0622\u0646 PH \u06a9\u0627\u0647\u0634 \u0645\u06cc \u06cc\u0627\u0628\u062f. \u0628\u0646\u0627\u0628\u0631\u0627\u06cc\u0646 \u0628\u06cc\u0646 \u0627\u06cc\u0646 \u062f\u0648 \u0641\u0627\u06a9\u062a\u0648\u0631 \u0627\u0631\u062a\u0628\u0627\u0637 \u0645\u0633\u062a\u0642\u06cc\u0645 \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f. \u0645\u0642\u062f\u0627\u0631 HCo3<\/sub>–<\/sup> \u062f\u0631 \u0627\u0644\u06a9\u0627\u0644\u0648\u0632 \u0645\u062a\u0627\u0628\u0648\u0644\u06cc\u06a9 \u0627\u0641\u0632\u0627\u06cc\u0634 \u0648 \u062f\u0631 \u0627\u0633\u06cc\u062f\u0648\u0632 \u0645\u062a\u0627\u0628\u0648\u0644\u06cc\u06a9 \u06a9\u0627\u0647\u0634 \u0645\u06cc \u06cc\u0627\u0628\u062f. \u062f\u0633\u062a\u06af\u0627\u0647 \u06a9\u0644\u06cc\u0647 \u0628\u0647 \u0639\u0646\u0648\u0627\u0646 \u0627\u0648\u0644\u06cc\u0646 \u062c\u0628\u0631\u0627\u0646 \u06a9\u0646\u0646\u062f\u0647 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a Acid\/Base \u062a\u0646\u0641\u0633\u06cc \u0627\u0646\u062c\u0627\u0645 \u0648\u0638\u06cc\u0641\u0647 \u0645\u06cc \u0646\u0645\u0627\u06cc\u062f. \u0628\u0631\u0627\u06cc \u0645\u062b\u0627\u0644 \u062f\u0631 \u0627\u0633\u06cc\u062f\u0648\u0632 \u062a\u0646\u0641\u0633\u06cc\u060c \u06a9\u0644\u06cc\u0647 \u0628\u0627 \u0627\u0641\u0632\u0627\u06cc\u0634 \u0628\u0627\u0632\u062c\u0630\u0628 HCo3<\/sub>–<\/sup> \u0645\u0648\u062c\u0628 \u0627\u0641\u0632\u0627\u06cc\u0634 PH \u062e\u0648\u0627\u0647\u062f \u0634\u062f. \u062f\u0631 \u0627\u0644\u06a9\u0627\u0644\u0648\u0632 \u062a\u0646\u0641\u0633\u06cc \u0628\u0627 \u062a\u0631\u0634\u062d \u0632\u06cc\u0627\u062f \u0648 HCo3<\/sub>–<\/sup> \u0627\u0641\u0632\u0627\u06cc\u0634 PH \u062c\u0628\u0631\u0627\u0646 \u0645\u06cc \u0634\u0648\u062f. \u0628\u0646\u0627\u0628\u0631\u0627\u06cc\u0646 \u0645\u0642\u062f\u0627\u0631 \u0622\u0646 \u062a\u0639\u06cc\u06cc\u0646 \u06a9\u0646\u0646\u062f\u0647 \u0648\u0636\u0639\u06cc\u062a \u062a\u0639\u0627\u062f\u0644 \u0627\u0633\u06cc\u062f-\u0628\u0627\u0632 \u062f\u0631 \u0628\u062f\u0646 \u0627\u0633\u062a.<\/p>\n

\u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u062f\u0631 \u0627\u0631\u06af\u0627\u0646\u0647\u0627\u06cc \u0645\u062e\u062a\u0644\u0641 \u0628\u062f\u0646 \u0645\u0627\u0646\u0646\u062f \u06a9\u0628\u062f \u0648 \u06a9\u0644\u06cc\u0647 \u0633\u0646\u062a\u0632 \u0648 \u062a\u0648\u0644\u06cc\u062f \u0645\u06cc \u0634\u0648\u062f. \u06a9\u0627\u0647\u0634 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u0628\u0647 \u0639\u0644\u062a \u0645\u0635\u0631\u0641 \u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u0622\u0646 \u0628\u0631\u0627\u06cc \u06a9\u0646\u062a\u0631\u0644 PH \u062e\u0648\u0646 (Buffering) \u06cc\u0627 \u0646\u0642\u0635 \u0648 \u062a\u0627\u062e\u06cc\u0631 \u062f\u0631 \u062a\u0648\u0644\u06cc\u062f \u0622\u0646 \u0628\u0627\u0634\u062f.<\/p>\n

\u0627\u0633\u06cc\u062f \u06a9\u0631\u0628\u0646\u06cc\u06a9 \u0645\u0647\u0645\u062a\u0631\u06cc\u0646 \u0646\u0648\u0639 \u0627\u0633\u06cc\u062f \u062f\u0631 \u062e\u0648\u0646 \u0627\u0633\u062a \u0648 \u0637\u0628\u0642 \u0641\u0631\u0645\u0648\u0644 \u0632\u06cc\u0631 \u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u0628\u0647 \u0622\u0628 \u0648 \u062f\u06cc \u0627\u06a9\u0633\u06cc\u062f \u06a9\u0631\u0628\u0646 \u062a\u0628\u062f\u06cc\u0644 \u0634\u0648\u062f.<\/p>\n

CO2<\/sub> + H2<\/sub>O <–> H2<\/sub>CO3\u00a0<\/sub><–> HCO3<\/sub>\u203e + H+<\/sup><\/p>\n

\u062f\u0631 \u0627\u0633\u06cc\u062f\u0648\u0632 \u062a\u0646\u0641\u0633\u06cc\u060c \u0627\u06cc\u0646 \u0627\u0633\u06cc\u062f \u0628\u0647 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0648 \u06cc\u0648\u0646 \u0647\u0627\u06cc H+<\/sup> \u062a\u0628\u062f\u06cc\u0644 \u0645\u06cc \u0634\u0648\u062f. \u0648\u0627\u06a9\u0646\u0634 \u0628\u0631\u0639\u06a9\u0633 \u0646\u06cc\u0632 \u0645\u06cc \u062a\u0648\u0627\u0646\u062f \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637 \u062f\u06cc\u06af\u0631 \u0627\u0646\u062c\u0627\u0645 \u0634\u062f\u0647 \u0648 \u0627\u0633\u06cc\u062f \u06a9\u0631\u0628\u0646\u06cc\u06a9 \u062a\u0648\u0644\u06cc\u062f \u0646\u0645\u0627\u06cc\u062f.<\/p>\n

\u0627\u0646\u062f\u0627\u0632\u0647 \u06af\u06cc\u0631\u06cc \u067e\u0627\u0631\u0627\u0645\u062a\u0631 \u0628\u06cc\u200c\u06a9\u0631\u0628\u0646\u0627\u062a \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f<\/strong> \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637 \u0646\u0631\u0645\u0627\u0644 \u062a\u0646\u0641\u0633\u06cc \u0628\u0631\u0627\u06cc \u0628\u06cc\u0645\u0627\u0631 \u0645\u0641\u06cc\u062f\u062a\u0631 \u0627\u0633\u062a. \u0628\u0631\u0627\u06cc \u0647\u0645\u06cc\u0646 \u062f\u0631 \u0634\u0631\u0627\u06cc\u0637 \u0645\u062a\u0627\u0628\u0648\u0644\u06cc\u06a9 \u0628\u0627 \u062d\u0630\u0641 \u067e\u0627\u0631\u0627\u0645\u062a\u0631\u0647\u0627\u06cc \u062a\u0646\u0641\u0633\u06cc \u0627\u0632 \u0628\u06cc\u200c\u06a9\u0631\u0628\u0646\u0627\u062a \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0645\u06cc \u06a9\u0646\u06cc\u0645. \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f\u060c \u0628\u0627 \u0641\u0631\u0636 pco2 \u0628\u0631\u0627\u0628\u0631 \u06f4\u06f0 mmg \u0648 \u062f\u0645\u0627\u06cc \u0628\u062f\u0646 \u0628\u0631\u0627\u0628\u0631 \u06f3\u06f7 \u062f\u0631\u062c\u0647 \u0628\u0647 \u062f\u0633\u062a \u0645\u06cc\u200c\u0622\u06cc\u062f.<\/p>\n

\u0645\u062d\u0627\u0633\u0628\u0647 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0648\u0627\u0642\u0639\u06cc \u0648 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0627\u0633\u062a\u0627\u0646\u062f\u0627\u0631\u062f<\/strong><\/p>\n\n\n\n\n\n
\u067e\u0627\u0631\u0627\u0645\u062a\u0631<\/td>\n\u062f\u0627\u0645\u0646\u0647<\/td>\n\u0641\u0631\u0645\u0648\u0644<\/td>\n<\/tr>\n
\n

HCO3-act<\/p>\n<\/td>\n

\n

\u06f0 \u2013 \u06f1\u06f0\u06f0mmol\/L<\/p>\n<\/td>\n

\n

c<\/em>HCO3\uff0dact=0.0307 p<\/em>CO2 \u00d7 \u06f1\u06f0(pH-pK) mmol\/L<\/p>\n

pK\uff1d\u06f6\u066b\u06f1\u06f2\u06f5-log{1+10\uff08pH-8.7\uff09}<\/p>\n<\/td>\n<\/tr>\n

\n

HCO3-std<\/p>\n<\/td>\n

\n

\u06f0 \u2013 \u06f1\u06f0\u06f0mmol\/L<\/p>\n<\/td>\n

\n

c<\/em>HCO3\uff0dstd =A\uff0d\u06f0\u066b\u06f3\u00d7\u03b4Hb\/1.6\u00d7(\u06f1-sO2\/100)<\/p>\n

\u03b4\uff1d\u06f1\/(f+f\u00d7\u03b2\/[\u06f1n(10)\u00d7A])<\/p>\n

A=c<\/em>HCO3-act\u00d7\u06f1\u06f0\uff3e(g\u00d7log(5.33\/p<\/em>CO2\/0.1333))<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u0645\u0646\u0627\u0628\u0639<\/p>\n

\u06f1\u066bSamuel, Rajini. “A Graphical Tool for Arterial Blood Gas Interpretation using Standard Bicarbonate and Base Excess.”\u00a0Indian J Med Biochem<\/em>\u00a0\u06f2\u06f2\u066b\u06f1 (\u06f2\u06f0\u06f1\u06f8): \u06f8\u06f5-\u06f8\u06f9\u066b<\/p>\n

\u06f2\u066bMohan A, Sharma SK. An approach to interpret arterial blood Gases. In Agarwal AK, editor. Clinical medicine update – 2006.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0645\u0642\u062f\u0627\u0631 \u0646\u0631\u0645\u0627\u0644 \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a mmol\/l 27-24 \u0627\u0633\u062a. \u0642\u0633\u0645\u062a \u0627\u0639\u0638\u0645 \u00a0CO2 (\u062a\u0642\u0631\u06cc\u0628\u0627 \u06f9\u06f0 \u062f\u0631\u0635\u062f) \u062f\u0631 \u062e\u0648\u0646 \u0628\u0647 \u0634\u06a9\u0644 HCo3– \u0645\u0648\u062c\u0648\u062f \u0627\u0633\u062a. \u0628\u06cc \u06a9\u0631\u0628\u0646\u0627\u062a \u0639\u0645\u062f\u0647 \u062a\u0631\u06cc\u0646 \u0648 \u0645\u0647\u0645\u200c\u062a\u0631\u06cc\u0646 [\u2026]<\/span><\/p>\n","protected":false},"author":2,"featured_media":778,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-777","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-5"],"_links":{"self":[{"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/posts\/777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/comments?post=777"}],"version-history":[{"count":7,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/posts\/777\/revisions"}],"predecessor-version":[{"id":785,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/posts\/777\/revisions\/785"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/media\/778"}],"wp:attachment":[{"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/media?parent=777"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/categories?post=777"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eqlimdanesh.com\/fa\/wp-json\/wp\/v2\/tags?post=777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}