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哪些檢驗值符合代謝性酸中毒?(選所有適合的)

Which lab results are consistent with metabolic acidosis? (Select all that apply.)

  • ApH 7.28✓ 正解
    pH 7.28
  • BHCO3- 18 mEq/L✓ 正解
    HCO3- 18 mEq/L
  • CPaCO2 35 mmHg✓ 正解
    PaCO2 35 mmHg
  • DPaO2 95 mmHg
    PaO2 95 mmHg
  • EHCO3- 30 mEq/L
    HCO3- 30 mEq/L
Explanation · 中文詳解

代謝性酸中毒的核心生化標記為 pH < 7.35(A. 7.28 符合)與 HCO3- < 22 mEq/L(B. 18 mEq/L 符合)。呼吸代償會使 PaCO2 下降;雖然 35 mmHg 處於正常範圍下限(35-45),但在代謝性酸中毒情境下被視為早期代償徵象,故 C 仍為合理選項。D. PaO2 與酸鹼判讀無直接關聯;E. HCO3- 30 mEq/L 升高為代謝性鹼中毒指標,與題意相反。

The core biochemical markers of metabolic acidosis are pH < 7.35 (A. 7.28 meets this criterion) and HCO3- < 22 mEq/L (B. 18 mEq/L meets this criterion). Respiratory compensation lowers PaCO2; although 35 mmHg is at the lower end of the normal range (35-45), in the setting of metabolic acidosis it is regarded as an early sign of respiratory compensation, so option C is still a reasonable choice. D. PaO2 has no direct relationship with acid-base interpretation; E. HCO3- of 30 mEq/L is elevated and indicates metabolic alkalosis, which is the opposite of what the question asks.

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