严重代谢性碱中毒一例
摘要
就诊当日行血液透析治疗后发病。急诊查血气分析 PH 7.83，PaCO2 19mmHg，PaO2 83mmHg，BE 13mmol/L，HCO3-
31mmol/L，K- 2.7mmol/L，NA+ 133mmol/L，CL- 97mmol/L，乳酸 2.5mmol/L。考虑严重代谢性碱中毒，综合患者病史
及本身情况，治疗上停止外源性 HCO3- 摄入后，予白醋加生理盐水稀释液灌肠，血液透析治疗后病情好转。
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