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            <h1 id="seo-header">【探索】动脉血气&amp;肺功能报告简单判读</h1>
            
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                    Last updated on March 19, 2024 pm
                  
                
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                <h2 id="动脉血气">动脉血气</h2>
<figure class="highlight python"><table><tr><td class="gutter"><pre><span class="line">1</span><br><span class="line">2</span><br><span class="line">3</span><br><span class="line">4</span><br><span class="line">5</span><br><span class="line">6</span><br><span class="line">7</span><br><span class="line">8</span><br><span class="line">9</span><br><span class="line">10</span><br><span class="line">11</span><br><span class="line">12</span><br><span class="line">13</span><br><span class="line">14</span><br><span class="line">15</span><br><span class="line">16</span><br><span class="line">17</span><br><span class="line">18</span><br><span class="line">19</span><br><span class="line">20</span><br><span class="line">21</span><br><span class="line">22</span><br><span class="line">23</span><br><span class="line">24</span><br><span class="line">25</span><br><span class="line">26</span><br><span class="line">27</span><br><span class="line">28</span><br><span class="line">29</span><br><span class="line">30</span><br><span class="line">31</span><br><span class="line">32</span><br><span class="line">33</span><br><span class="line">34</span><br><span class="line">35</span><br><span class="line">36</span><br><span class="line">37</span><br><span class="line">38</span><br><span class="line">39</span><br><span class="line">40</span><br><span class="line">41</span><br><span class="line">42</span><br><span class="line">43</span><br><span class="line">44</span><br><span class="line">45</span><br><span class="line">46</span><br><span class="line">47</span><br><span class="line">48</span><br><span class="line">49</span><br><span class="line">50</span><br><span class="line">51</span><br><span class="line">52</span><br><span class="line">53</span><br><span class="line">54</span><br><span class="line">55</span><br><span class="line">56</span><br><span class="line">57</span><br><span class="line">58</span><br><span class="line">59</span><br><span class="line">60</span><br><span class="line">61</span><br><span class="line">62</span><br><span class="line">63</span><br><span class="line">64</span><br><span class="line">65</span><br><span class="line">66</span><br><span class="line">67</span><br><span class="line">68</span><br><span class="line">69</span><br></pre></td><td class="code"><pre><span class="line"><span class="keyword">def</span> <span class="title function_">arterialBloodGasAnalysis</span>(<span class="params">pH:<span class="built_in">float</span>, PaCO2:<span class="built_in">float</span>, SB:<span class="built_in">float</span>, AB:<span class="built_in">float</span>, PaO2:<span class="built_in">float</span>, age:<span class="built_in">int</span></span>):</span><br><span class="line">    <span class="string">&#x27;&#x27;&#x27;</span></span><br><span class="line"><span class="string">    pH：酸碱度，正常值 7.35~7.45</span></span><br><span class="line"><span class="string">    PaCO2：动脉血二氧化碳分压，正常值 35~45 mmHg</span></span><br><span class="line"><span class="string">    HCO3-：SB 标准碳酸氢盐，AB 实际碳酸氢盐，正常值 SB = AB 22~27 mmol/L</span></span><br><span class="line"><span class="string">    PaO2：动脉血氧分压，正常值 100 - 0.33 * age ± 5 mmHg</span></span><br><span class="line"><span class="string">    age: 年龄</span></span><br><span class="line"><span class="string">    &#x27;&#x27;&#x27;</span></span><br><span class="line">    </span><br><span class="line">    result = <span class="string">&#x27;&#x27;</span></span><br><span class="line">    </span><br><span class="line">    <span class="comment"># 低氧血症</span></span><br><span class="line">    goal_PaO2 = <span class="number">100</span> - <span class="number">0.33</span> * age - <span class="number">5</span></span><br><span class="line">    <span class="keyword">if</span> PaO2 &gt; goal_PaO2:</span><br><span class="line">        <span class="keyword">pass</span></span><br><span class="line">    <span class="keyword">elif</span> PaO2 &lt;= <span class="number">40</span>:</span><br><span class="line">        result += <span class="string">&#x27;重度低氧血症；&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> PaO2 &lt;= <span class="number">60</span>:</span><br><span class="line">        result += <span class="string">&#x27;中度低氧血症；&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> PaO2 &lt;= <span class="number">95</span>:</span><br><span class="line">        result += <span class="string">&#x27;轻度低氧血症；&#x27;</span></span><br><span class="line">    </span><br><span class="line">    <span class="keyword">if</span> PaO2 &lt; <span class="number">60</span>:</span><br><span class="line">        <span class="keyword">if</span> PaCO2 &lt;= <span class="number">45</span>:</span><br><span class="line">            result += <span class="string">&#x27;I型呼吸衰竭；&#x27;</span></span><br><span class="line">        <span class="keyword">elif</span> PaCO2 &gt; <span class="number">50</span>:</span><br><span class="line">            result += <span class="string">&#x27;II型呼吸衰竭；&#x27;</span></span><br><span class="line">        <span class="keyword">else</span>:</span><br><span class="line">            result += <span class="string">&#x27;呼吸衰竭；&#x27;</span></span><br><span class="line"></span><br><span class="line">    <span class="comment">#  酸碱平衡</span></span><br><span class="line">    goal_pH = <span class="number">7.4</span> + (<span class="number">40</span> - PaCO2) / <span class="number">10</span> * <span class="number">0.08</span></span><br><span class="line">    <span class="keyword">if</span> pH &gt; <span class="number">7.45</span>:</span><br><span class="line">        <span class="keyword">if</span> PaCO2 &gt; <span class="number">40</span>:</span><br><span class="line">            result += <span class="string">&#x27;代谢性碱中毒；&#x27;</span> <span class="comment"># SB &gt; 24</span></span><br><span class="line">        <span class="keyword">else</span>:</span><br><span class="line">            <span class="keyword">if</span> goal_pH + <span class="number">0.02</span> &lt; pH:</span><br><span class="line">                result += <span class="string">&#x27;呼吸性碱中毒合并代谢性碱中毒；&#x27;</span> <span class="comment"># 发热 + 呕吐</span></span><br><span class="line">            <span class="keyword">elif</span> goal_pH - <span class="number">0.02</span> &lt;= pH:</span><br><span class="line">                result += <span class="string">&#x27;单纯性呼吸性碱中毒；&#x27;</span></span><br><span class="line">            <span class="keyword">else</span>:</span><br><span class="line">                result += <span class="string">&#x27;呼吸性碱中毒合并代谢性酸中毒；&#x27;</span> <span class="comment"># 发热 + 腹泻</span></span><br><span class="line">    <span class="keyword">elif</span> pH &lt; <span class="number">7.35</span>:</span><br><span class="line">        <span class="keyword">if</span> PaCO2 &lt; <span class="number">40</span>:</span><br><span class="line">            result += <span class="string">&#x27;代谢性酸中毒；&#x27;</span> <span class="comment"># SB &lt; 24</span></span><br><span class="line">        <span class="keyword">else</span>:</span><br><span class="line">            <span class="keyword">if</span> goal_pH + <span class="number">0.02</span> &lt; pH:</span><br><span class="line">                result += <span class="string">&#x27;呼吸性酸中毒合并代谢性碱中毒；&#x27;</span> <span class="comment"># 肺心病 + 利尿</span></span><br><span class="line">            <span class="keyword">elif</span> goal_pH - <span class="number">0.02</span> &lt;= pH:</span><br><span class="line">                result += <span class="string">&#x27;单纯性呼吸性酸中毒；&#x27;</span></span><br><span class="line">            <span class="keyword">else</span>:</span><br><span class="line">                result += <span class="string">&#x27;呼吸性酸中毒合并代谢性酸中毒；&#x27;</span> <span class="comment"># COPD + 休克</span></span><br><span class="line">    <span class="keyword">else</span>:</span><br><span class="line">        <span class="keyword">if</span> SB &gt; <span class="number">27</span>:</span><br><span class="line">            <span class="keyword">if</span> PaCO2 - <span class="number">40</span> &gt; <span class="number">0.7</span> * (AB - <span class="number">24</span>) + <span class="number">5</span>:</span><br><span class="line">                result += <span class="string">&#x27;代谢性碱中毒合并呼吸性酸中毒；&#x27;</span></span><br><span class="line">            <span class="keyword">else</span>:</span><br><span class="line">                result += <span class="string">&#x27;代偿性代谢性碱中毒；&#x27;</span></span><br><span class="line">        <span class="keyword">elif</span> SB &lt; <span class="number">22</span>:</span><br><span class="line">            <span class="keyword">if</span> <span class="number">40</span> - PaCO2 &lt; <span class="number">1.2</span> * (<span class="number">24</span> - AB) + <span class="number">2</span>:</span><br><span class="line">                result += <span class="string">&#x27;代谢性酸中毒合并呼吸性碱中毒；&#x27;</span></span><br><span class="line">            <span class="keyword">else</span>:</span><br><span class="line">                result += <span class="string">&#x27;代偿性代谢性酸中毒；&#x27;</span></span><br><span class="line">        <span class="keyword">else</span>:</span><br><span class="line">            <span class="keyword">if</span> (<span class="number">22</span> &lt; AB &lt; <span class="number">27</span>) <span class="keyword">and</span> (<span class="number">35</span> &lt; PaCO2 &lt; <span class="number">45</span>):</span><br><span class="line">                result += <span class="string">&#x27;代谢性碱中毒合并代谢性酸中毒或正常；&#x27;</span> <span class="comment"># 尿毒症 + 呕吐</span></span><br><span class="line">        </span><br><span class="line">    </span><br><span class="line">    <span class="keyword">return</span> result <span class="keyword">if</span> result <span class="keyword">else</span> <span class="string">&#x27;结果正常&#x27;</span></span><br></pre></td></tr></table></figure>
<h2 id="肺功能">肺功能</h2>
<figure class="highlight python"><table><tr><td class="gutter"><pre><span class="line">1</span><br><span class="line">2</span><br><span class="line">3</span><br><span class="line">4</span><br><span class="line">5</span><br><span class="line">6</span><br><span class="line">7</span><br><span class="line">8</span><br><span class="line">9</span><br><span class="line">10</span><br><span class="line">11</span><br><span class="line">12</span><br><span class="line">13</span><br><span class="line">14</span><br><span class="line">15</span><br><span class="line">16</span><br><span class="line">17</span><br><span class="line">18</span><br><span class="line">19</span><br><span class="line">20</span><br><span class="line">21</span><br><span class="line">22</span><br><span class="line">23</span><br><span class="line">24</span><br><span class="line">25</span><br><span class="line">26</span><br><span class="line">27</span><br><span class="line">28</span><br><span class="line">29</span><br><span class="line">30</span><br><span class="line">31</span><br><span class="line">32</span><br><span class="line">33</span><br><span class="line">34</span><br><span class="line">35</span><br><span class="line">36</span><br><span class="line">37</span><br><span class="line">38</span><br><span class="line">39</span><br><span class="line">40</span><br><span class="line">41</span><br><span class="line">42</span><br><span class="line">43</span><br><span class="line">44</span><br><span class="line">45</span><br><span class="line">46</span><br><span class="line">47</span><br><span class="line">48</span><br><span class="line">49</span><br><span class="line">50</span><br><span class="line">51</span><br><span class="line">52</span><br><span class="line">53</span><br><span class="line">54</span><br><span class="line">55</span><br><span class="line">56</span><br><span class="line">57</span><br><span class="line">58</span><br><span class="line">59</span><br><span class="line">60</span><br><span class="line">61</span><br><span class="line">62</span><br><span class="line">63</span><br><span class="line">64</span><br><span class="line">65</span><br><span class="line">66</span><br><span class="line">67</span><br><span class="line">68</span><br><span class="line">69</span><br><span class="line">70</span><br><span class="line">71</span><br><span class="line">72</span><br><span class="line">73</span><br><span class="line">74</span><br><span class="line">75</span><br><span class="line">76</span><br><span class="line">77</span><br></pre></td><td class="code"><pre><span class="line"><span class="keyword">def</span> <span class="title function_">pulmonaryFunctionTest</span>(<span class="params">FEV1_R_VC:<span class="built_in">float</span>, FEV1_R_VC_R:<span class="built_in">float</span>, FEV1_R:<span class="built_in">float</span>, </span></span><br><span class="line"><span class="params">                          FEF25_R:<span class="built_in">float</span>, FEF50_R:<span class="built_in">float</span>, FEF75_R:<span class="built_in">float</span>, </span></span><br><span class="line"><span class="params">                          FVC_R:<span class="built_in">float</span>, </span></span><br><span class="line"><span class="params">                          DLCO_SB_R:<span class="built_in">float</span>, </span></span><br><span class="line"><span class="params">                          FEV1_CHG:<span class="built_in">float</span>, FEV1_CHG_R:<span class="built_in">float</span></span>):</span><br><span class="line">    <span class="string">&#x27;&#x27;&#x27;</span></span><br><span class="line"><span class="string">    FEV1_R_VC：FEV1/VC 百分数</span></span><br><span class="line"><span class="string">    FEV1_R_VC_R：FEV1/VC % Pred 百分数：</span></span><br><span class="line"><span class="string">    FEV1_R：第一秒用力呼气量 FEV1 % Pred 百分数</span></span><br><span class="line"><span class="string">    FEF25_R：FEF25 % Pred 百分数</span></span><br><span class="line"><span class="string">    FEF50_R：FEF50 % Pred 百分数</span></span><br><span class="line"><span class="string">    FEF75_R：FEF75 % Pred 百分数</span></span><br><span class="line"><span class="string">    FVC_R：用力肺活量 FVC % Pred 百分数</span></span><br><span class="line"><span class="string">    DLCOc_SB_R：校正后的一口气呼气法DLCO % Pred 百分数</span></span><br><span class="line"><span class="string">    FEV1_CHG：支气管舒张实验 FEV1 增加值 L</span></span><br><span class="line"><span class="string">    FEV1_CHG_R：FEV1_CHG % Pred 百分数</span></span><br><span class="line"><span class="string">    &#x27;&#x27;&#x27;</span></span><br><span class="line">    <span class="keyword">if</span> FEV1_R &gt;= <span class="number">80</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;正常&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> FEV1_R &gt;= <span class="number">70</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;轻度&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> FEV1_R &gt;= <span class="number">60</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;中度&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> FEV1_R &gt;= <span class="number">50</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;中重度&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> FEV1_R &gt;= <span class="number">35</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;重度&#x27;</span></span><br><span class="line">    <span class="keyword">else</span>:</span><br><span class="line">        通气分度 = <span class="string">&#x27;极重度&#x27;</span></span><br><span class="line">    </span><br><span class="line">    阻塞性通气功能障碍 = (FEV1_R_VC &lt; <span class="number">70</span>) <span class="keyword">or</span> (FEV1_R_VC_R &lt; <span class="number">92</span>)</span><br><span class="line">    <span class="keyword">if</span> <span class="keyword">not</span> 阻塞性通气功能障碍:</span><br><span class="line">        小气道功能障碍 = ((FEF25_R &lt; <span class="number">65</span>) + (FEF50_R &lt; <span class="number">65</span>) + (FEF75_R &lt; <span class="number">65</span>)) &gt;= <span class="number">2</span></span><br><span class="line">    <span class="keyword">else</span>:</span><br><span class="line">        小气道功能障碍 = <span class="number">0</span> <span class="comment"># 无意义</span></span><br><span class="line">    </span><br><span class="line">    限制性通气功能障碍 = FVC_R &lt; <span class="number">80</span></span><br><span class="line">    </span><br><span class="line">    弥散功能障碍 = DLCO_SB_R &lt; <span class="number">80</span></span><br><span class="line">    <span class="keyword">if</span> 弥散功能障碍:</span><br><span class="line">        <span class="keyword">if</span> DLCO_SB_R &gt;= <span class="number">60</span>:</span><br><span class="line">            弥散分度 = <span class="string">&#x27;轻度&#x27;</span></span><br><span class="line">        <span class="keyword">elif</span> DLCO_SB_R &gt;= <span class="number">40</span>:</span><br><span class="line">            弥散分度 = <span class="string">&#x27;中度&#x27;</span></span><br><span class="line">        <span class="keyword">else</span>:</span><br><span class="line">            弥散分度 = <span class="string">&#x27;重度&#x27;</span></span><br><span class="line">    </span><br><span class="line">    <span class="keyword">if</span> (FEV1_CHG_R &gt;= <span class="number">12</span>) <span class="keyword">and</span> (FEV1_CHG &gt;= <span class="number">0.2</span>):</span><br><span class="line">        支气管舒张实验 = <span class="string">&#x27;阳性&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> (FEV1_CHG_R &gt;= <span class="number">12</span>) <span class="keyword">or</span> (FEV1_CHG &gt;= <span class="number">0.2</span>):</span><br><span class="line">        支气管舒张实验 = <span class="string">&#x27;可疑阳性&#x27;</span></span><br><span class="line">    <span class="keyword">else</span>:</span><br><span class="line">        支气管舒张实验 = <span class="string">&#x27;阴性&#x27;</span></span><br><span class="line">    </span><br><span class="line">    result = 通气分度</span><br><span class="line">    <span class="keyword">if</span> 阻塞性通气功能障碍 <span class="keyword">and</span> 限制性通气功能障碍:</span><br><span class="line">        result += <span class="string">&#x27;混合性通气功能障碍&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> 阻塞性通气功能障碍:</span><br><span class="line">        result += <span class="string">&#x27;阻塞性通气功能障碍&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> 限制性通气功能障碍:</span><br><span class="line">        result += <span class="string">&#x27;限制性通气功能障碍&#x27;</span></span><br><span class="line">    <span class="keyword">else</span>:</span><br><span class="line">        result = <span class="string">&#x27;&#x27;</span></span><br><span class="line">    </span><br><span class="line">    <span class="keyword">if</span> (小气道功能障碍 <span class="keyword">or</span> 弥散功能障碍) <span class="keyword">and</span> result:</span><br><span class="line">        result += <span class="string">&#x27;伴&#x27;</span></span><br><span class="line">    <span class="keyword">if</span> 小气道功能障碍 <span class="keyword">and</span> 弥散功能障碍:</span><br><span class="line">        result += <span class="string">f&#x27;小气道功能障碍、<span class="subst">&#123;弥散分度&#125;</span>弥散功能障碍&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> 小气道功能障碍:</span><br><span class="line">        result += <span class="string">&#x27;小气道功能障碍&#x27;</span></span><br><span class="line">    <span class="keyword">elif</span> 弥散功能障碍:</span><br><span class="line">        result += <span class="string">f&#x27;<span class="subst">&#123;弥散分度&#125;</span>弥散功能障碍&#x27;</span></span><br><span class="line">    </span><br><span class="line">    <span class="keyword">if</span> <span class="keyword">not</span> result:</span><br><span class="line">        result = <span class="string">&quot;肺通气、弥散功能正常&quot;</span></span><br><span class="line">    </span><br><span class="line">    <span class="keyword">return</span> result + <span class="string">f&#x27;；支气管舒张实验<span class="subst">&#123;支气管舒张实验&#125;</span>&#x27;</span></span><br></pre></td></tr></table></figure>
                
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    Fluid.events.registerRefreshCallback(function() {
      if ('anchors' in window) {
        anchors.removeAll();
        var el = (CONFIG.anchorjs.element || 'h1,h2,h3,h4,h5,h6').split(',');
        var res = [];
        for (var item of el) {
          res.push('.markdown-body > ' + item.trim());
        }
        if (CONFIG.anchorjs.placement === 'left') {
          anchors.options.class = 'anchorjs-link-left';
        }
        anchors.add(res.join(', '));
      }
    });
  });
</script>


  <script>Fluid.plugins.imageCaption();</script>

  <script  src="/js/local-search.js" ></script>


<!-- 主题的启动项，将它保持在最底部 -->
<!-- the boot of the theme, keep it at the bottom -->
<script  src="/js/boot.js" ></script>


  <noscript>
    <div class="noscript-warning">Blog works best with JavaScript enabled</div>
  </noscript>
<!-- hexo injector body_end start -->
  <script defer src="/theme-inject/timeliness.js"></script>
<!-- hexo injector body_end end --></body>
</html>