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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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                <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><code class="hljs python"><span class="hljs-keyword">def</span> <span class="hljs-title function_">arterialBloodGasAnalysis</span>(<span class="hljs-params">pH:<span class="hljs-built_in">float</span>, PaCO2:<span class="hljs-built_in">float</span>, SB:<span class="hljs-built_in">float</span>, AB:<span class="hljs-built_in">float</span>, PaO2:<span class="hljs-built_in">float</span>, age:<span class="hljs-built_in">int</span></span>):<br>    <span class="hljs-string">&#x27;&#x27;&#x27;</span><br><span class="hljs-string">    pH：酸碱度，正常值 7.35~7.45</span><br><span class="hljs-string">    PaCO2：动脉血二氧化碳分压，正常值 35~45 mmHg</span><br><span class="hljs-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><br><span class="hljs-string">    PaO2：动脉血氧分压，正常值 100 - 0.33 * age ± 5 mmHg</span><br><span class="hljs-string">    age: 年龄</span><br><span class="hljs-string">    &#x27;&#x27;&#x27;</span><br>    <br>    result = <span class="hljs-string">&#x27;&#x27;</span><br>    <br>    <span class="hljs-comment"># 低氧血症</span><br>    goal_PaO2 = <span class="hljs-number">100</span> - <span class="hljs-number">0.33</span> * age - <span class="hljs-number">5</span><br>    <span class="hljs-keyword">if</span> PaO2 &gt; goal_PaO2:<br>        <span class="hljs-keyword">pass</span><br>    <span class="hljs-keyword">elif</span> PaO2 &lt;= <span class="hljs-number">40</span>:<br>        result += <span class="hljs-string">&#x27;重度低氧血症；&#x27;</span><br>    <span class="hljs-keyword">elif</span> PaO2 &lt;= <span class="hljs-number">60</span>:<br>        result += <span class="hljs-string">&#x27;中度低氧血症；&#x27;</span><br>    <span class="hljs-keyword">elif</span> PaO2 &lt;= <span class="hljs-number">95</span>:<br>        result += <span class="hljs-string">&#x27;轻度低氧血症；&#x27;</span><br>    <br>    <span class="hljs-keyword">if</span> PaO2 &lt; <span class="hljs-number">60</span>:<br>        <span class="hljs-keyword">if</span> PaCO2 &lt;= <span class="hljs-number">45</span>:<br>            result += <span class="hljs-string">&#x27;I型呼吸衰竭；&#x27;</span><br>        <span class="hljs-keyword">elif</span> PaCO2 &gt; <span class="hljs-number">50</span>:<br>            result += <span class="hljs-string">&#x27;II型呼吸衰竭；&#x27;</span><br>        <span class="hljs-keyword">else</span>:<br>            result += <span class="hljs-string">&#x27;呼吸衰竭；&#x27;</span><br><br>    <span class="hljs-comment">#  酸碱平衡</span><br>    goal_pH = <span class="hljs-number">7.4</span> + (<span class="hljs-number">40</span> - PaCO2) / <span class="hljs-number">10</span> * <span class="hljs-number">0.08</span><br>    <span class="hljs-keyword">if</span> pH &gt; <span class="hljs-number">7.45</span>:<br>        <span class="hljs-keyword">if</span> PaCO2 &gt; <span class="hljs-number">40</span>:<br>            result += <span class="hljs-string">&#x27;代谢性碱中毒；&#x27;</span> <span class="hljs-comment"># SB &gt; 24</span><br>        <span class="hljs-keyword">else</span>:<br>            <span class="hljs-keyword">if</span> goal_pH + <span class="hljs-number">0.02</span> &lt; pH:<br>                result += <span class="hljs-string">&#x27;呼吸性碱中毒合并代谢性碱中毒；&#x27;</span> <span class="hljs-comment"># 发热 + 呕吐</span><br>            <span class="hljs-keyword">elif</span> goal_pH - <span class="hljs-number">0.02</span> &lt;= pH:<br>                result += <span class="hljs-string">&#x27;单纯性呼吸性碱中毒；&#x27;</span><br>            <span class="hljs-keyword">else</span>:<br>                result += <span class="hljs-string">&#x27;呼吸性碱中毒合并代谢性酸中毒；&#x27;</span> <span class="hljs-comment"># 发热 + 腹泻</span><br>    <span class="hljs-keyword">elif</span> pH &lt; <span class="hljs-number">7.35</span>:<br>        <span class="hljs-keyword">if</span> PaCO2 &lt; <span class="hljs-number">40</span>:<br>            result += <span class="hljs-string">&#x27;代谢性酸中毒；&#x27;</span> <span class="hljs-comment"># SB &lt; 24</span><br>        <span class="hljs-keyword">else</span>:<br>            <span class="hljs-keyword">if</span> goal_pH + <span class="hljs-number">0.02</span> &lt; pH:<br>                result += <span class="hljs-string">&#x27;呼吸性酸中毒合并代谢性碱中毒；&#x27;</span> <span class="hljs-comment"># 肺心病 + 利尿</span><br>            <span class="hljs-keyword">elif</span> goal_pH - <span class="hljs-number">0.02</span> &lt;= pH:<br>                result += <span class="hljs-string">&#x27;单纯性呼吸性酸中毒；&#x27;</span><br>            <span class="hljs-keyword">else</span>:<br>                result += <span class="hljs-string">&#x27;呼吸性酸中毒合并代谢性酸中毒；&#x27;</span> <span class="hljs-comment"># COPD + 休克</span><br>    <span class="hljs-keyword">else</span>:<br>        <span class="hljs-keyword">if</span> SB &gt; <span class="hljs-number">27</span>:<br>            <span class="hljs-keyword">if</span> PaCO2 - <span class="hljs-number">40</span> &gt; <span class="hljs-number">0.7</span> * (AB - <span class="hljs-number">24</span>) + <span class="hljs-number">5</span>:<br>                result += <span class="hljs-string">&#x27;代谢性碱中毒合并呼吸性酸中毒；&#x27;</span><br>            <span class="hljs-keyword">else</span>:<br>                result += <span class="hljs-string">&#x27;代偿性代谢性碱中毒；&#x27;</span><br>        <span class="hljs-keyword">elif</span> SB &lt; <span class="hljs-number">22</span>:<br>            <span class="hljs-keyword">if</span> <span class="hljs-number">40</span> - PaCO2 &lt; <span class="hljs-number">1.2</span> * (<span class="hljs-number">24</span> - AB) + <span class="hljs-number">2</span>:<br>                result += <span class="hljs-string">&#x27;代谢性酸中毒合并呼吸性碱中毒；&#x27;</span><br>            <span class="hljs-keyword">else</span>:<br>                result += <span class="hljs-string">&#x27;代偿性代谢性酸中毒；&#x27;</span><br>        <span class="hljs-keyword">else</span>:<br>            <span class="hljs-keyword">if</span> (<span class="hljs-number">22</span> &lt; AB &lt; <span class="hljs-number">27</span>) <span class="hljs-keyword">and</span> (<span class="hljs-number">35</span> &lt; PaCO2 &lt; <span class="hljs-number">45</span>):<br>                result += <span class="hljs-string">&#x27;代谢性碱中毒合并代谢性酸中毒或正常；&#x27;</span> <span class="hljs-comment"># 尿毒症 + 呕吐</span><br>        <br>    <br>    <span class="hljs-keyword">return</span> result <span class="hljs-keyword">if</span> result <span class="hljs-keyword">else</span> <span class="hljs-string">&#x27;结果正常&#x27;</span><br></code></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><code class="hljs python"><span class="hljs-keyword">def</span> <span class="hljs-title function_">pulmonaryFunctionTest</span>(<span class="hljs-params">FEV1_R_VC:<span class="hljs-built_in">float</span>, FEV1_R_VC_R:<span class="hljs-built_in">float</span>, FEV1_R:<span class="hljs-built_in">float</span>, </span><br><span class="hljs-params">                          FEF25_R:<span class="hljs-built_in">float</span>, FEF50_R:<span class="hljs-built_in">float</span>, FEF75_R:<span class="hljs-built_in">float</span>, </span><br><span class="hljs-params">                          FVC_R:<span class="hljs-built_in">float</span>, </span><br><span class="hljs-params">                          DLCO_SB_R:<span class="hljs-built_in">float</span>, </span><br><span class="hljs-params">                          FEV1_CHG:<span class="hljs-built_in">float</span>, FEV1_CHG_R:<span class="hljs-built_in">float</span></span>):<br>    <span class="hljs-string">&#x27;&#x27;&#x27;</span><br><span class="hljs-string">    FEV1_R_VC：FEV1/VC 百分数</span><br><span class="hljs-string">    FEV1_R_VC_R：FEV1/VC % Pred 百分数：</span><br><span class="hljs-string">    FEV1_R：第一秒用力呼气量 FEV1 % Pred 百分数</span><br><span class="hljs-string">    FEF25_R：FEF25 % Pred 百分数</span><br><span class="hljs-string">    FEF50_R：FEF50 % Pred 百分数</span><br><span class="hljs-string">    FEF75_R：FEF75 % Pred 百分数</span><br><span class="hljs-string">    FVC_R：用力肺活量 FVC % Pred 百分数</span><br><span class="hljs-string">    DLCOc_SB_R：校正后的一口气呼气法DLCO % Pred 百分数</span><br><span class="hljs-string">    FEV1_CHG：支气管舒张实验 FEV1 增加值 L</span><br><span class="hljs-string">    FEV1_CHG_R：FEV1_CHG % Pred 百分数</span><br><span class="hljs-string">    &#x27;&#x27;&#x27;</span><br>    <span class="hljs-keyword">if</span> FEV1_R &gt;= <span class="hljs-number">80</span>:<br>        通气分度 = <span class="hljs-string">&#x27;正常&#x27;</span><br>    <span class="hljs-keyword">elif</span> FEV1_R &gt;= <span class="hljs-number">70</span>:<br>        通气分度 = <span class="hljs-string">&#x27;轻度&#x27;</span><br>    <span class="hljs-keyword">elif</span> FEV1_R &gt;= <span class="hljs-number">60</span>:<br>        通气分度 = <span class="hljs-string">&#x27;中度&#x27;</span><br>    <span class="hljs-keyword">elif</span> FEV1_R &gt;= <span class="hljs-number">50</span>:<br>        通气分度 = <span class="hljs-string">&#x27;中重度&#x27;</span><br>    <span class="hljs-keyword">elif</span> FEV1_R &gt;= <span class="hljs-number">35</span>:<br>        通气分度 = <span class="hljs-string">&#x27;重度&#x27;</span><br>    <span class="hljs-keyword">else</span>:<br>        通气分度 = <span class="hljs-string">&#x27;极重度&#x27;</span><br>    <br>    阻塞性通气功能障碍 = (FEV1_R_VC &lt; <span class="hljs-number">70</span>) <span class="hljs-keyword">or</span> (FEV1_R_VC_R &lt; <span class="hljs-number">92</span>)<br>    <span class="hljs-keyword">if</span> <span class="hljs-keyword">not</span> 阻塞性通气功能障碍:<br>        小气道功能障碍 = ((FEF25_R &lt; <span class="hljs-number">65</span>) + (FEF50_R &lt; <span class="hljs-number">65</span>) + (FEF75_R &lt; <span class="hljs-number">65</span>)) &gt;= <span class="hljs-number">2</span><br>    <span class="hljs-keyword">else</span>:<br>        小气道功能障碍 = <span class="hljs-number">0</span> <span class="hljs-comment"># 无意义</span><br>    <br>    限制性通气功能障碍 = FVC_R &lt; <span class="hljs-number">80</span><br>    <br>    弥散功能障碍 = DLCO_SB_R &lt; <span class="hljs-number">80</span><br>    <span class="hljs-keyword">if</span> 弥散功能障碍:<br>        <span class="hljs-keyword">if</span> DLCO_SB_R &gt;= <span class="hljs-number">60</span>:<br>            弥散分度 = <span class="hljs-string">&#x27;轻度&#x27;</span><br>        <span class="hljs-keyword">elif</span> DLCO_SB_R &gt;= <span class="hljs-number">40</span>:<br>            弥散分度 = <span class="hljs-string">&#x27;中度&#x27;</span><br>        <span class="hljs-keyword">else</span>:<br>            弥散分度 = <span class="hljs-string">&#x27;重度&#x27;</span><br>    <br>    <span class="hljs-keyword">if</span> (FEV1_CHG_R &gt;= <span class="hljs-number">12</span>) <span class="hljs-keyword">and</span> (FEV1_CHG &gt;= <span class="hljs-number">0.2</span>):<br>        支气管舒张实验 = <span class="hljs-string">&#x27;阳性&#x27;</span><br>    <span class="hljs-keyword">elif</span> (FEV1_CHG_R &gt;= <span class="hljs-number">12</span>) <span class="hljs-keyword">or</span> (FEV1_CHG &gt;= <span class="hljs-number">0.2</span>):<br>        支气管舒张实验 = <span class="hljs-string">&#x27;可疑阳性&#x27;</span><br>    <span class="hljs-keyword">else</span>:<br>        支气管舒张实验 = <span class="hljs-string">&#x27;阴性&#x27;</span><br>    <br>    result = 通气分度<br>    <span class="hljs-keyword">if</span> 阻塞性通气功能障碍 <span class="hljs-keyword">and</span> 限制性通气功能障碍:<br>        result += <span class="hljs-string">&#x27;混合性通气功能障碍&#x27;</span><br>    <span class="hljs-keyword">elif</span> 阻塞性通气功能障碍:<br>        result += <span class="hljs-string">&#x27;阻塞性通气功能障碍&#x27;</span><br>    <span class="hljs-keyword">elif</span> 限制性通气功能障碍:<br>        result += <span class="hljs-string">&#x27;限制性通气功能障碍&#x27;</span><br>    <span class="hljs-keyword">else</span>:<br>        result = <span class="hljs-string">&#x27;&#x27;</span><br>    <br>    <span class="hljs-keyword">if</span> (小气道功能障碍 <span class="hljs-keyword">or</span> 弥散功能障碍) <span class="hljs-keyword">and</span> result:<br>        result += <span class="hljs-string">&#x27;伴&#x27;</span><br>    <span class="hljs-keyword">if</span> 小气道功能障碍 <span class="hljs-keyword">and</span> 弥散功能障碍:<br>        result += <span class="hljs-string">f&#x27;小气道功能障碍、<span class="hljs-subst">&#123;弥散分度&#125;</span>弥散功能障碍&#x27;</span><br>    <span class="hljs-keyword">elif</span> 小气道功能障碍:<br>        result += <span class="hljs-string">&#x27;小气道功能障碍&#x27;</span><br>    <span class="hljs-keyword">elif</span> 弥散功能障碍:<br>        result += <span class="hljs-string">f&#x27;<span class="hljs-subst">&#123;弥散分度&#125;</span>弥散功能障碍&#x27;</span><br>    <br>    <span class="hljs-keyword">if</span> <span class="hljs-keyword">not</span> result:<br>        result = <span class="hljs-string">&quot;肺通气、弥散功能正常&quot;</span><br>    <br>    <span class="hljs-keyword">return</span> result + <span class="hljs-string">f&#x27;；支气管舒张实验<span class="hljs-subst">&#123;支气管舒张实验&#125;</span>&#x27;</span><br></code></pre></td></tr></table></figure>
                
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