中国实用内科杂志2024,Vol.44Issue(5) :373-379.DOI:10.19538/j.nk2024050105

急性代谢性酸中毒的病因识别及管理

Identification and management of the etiology of acute metabolic acidosis

韩明月 刚晓坤
中国实用内科杂志2024,Vol.44Issue(5) :373-379.DOI:10.19538/j.nk2024050105

急性代谢性酸中毒的病因识别及管理

Identification and management of the etiology of acute metabolic acidosis

韩明月 1刚晓坤1
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作者信息

  • 1. 吉林大学白求恩第一医院内分泌代谢科,吉林 长春 130012
  • 折叠

摘要

代谢性酸中毒是临床常见的酸碱失衡,根据酸中毒发生发展的时间,可进一步分为急性和慢性代谢性酸中毒.急性代谢性酸中毒在重症患者中更为常见,其病因复杂多样,也可作为其他疾病的严重并发症.急性代谢性酸中毒可累及多个器官和系统,严重者可危及生命.准确识别病因,采取及时有效的手段进行干预,可降低重症患者不良事件的发生率.文章从临床的角度总结急性代谢性酸中毒的原因及其管理情况,以期为临床急性代谢性酸中毒的诊治提供思路.

Abstract

Metabolic acidosis is a common clinical acid-base imbalance.According to the time of occurrence and development of acidosis,it can be further divided into acute and chronic metabolic acidosis.Acute metabolic acidosis is relatively more common in severe patients,and its etiology is complex and diverse,and it can also appear as a serious complication of other diseases.Acute metabolic acidosis can involve multiple organs and systems,and can be life-threatening in severe cases.Accurate identification of etiology and effective intervention can reduce the incidence of adverse events in severe patients.The purpose of this article is to summarize the etiology and management of acute metabolic acidosis from clinical perspectives,in order to provide ideas for clinical diagnosis and treatment of acute metabolic acidosis.

关键词

急性代谢性酸中毒/病因/管理

Key words

acute metabolic acidosis/etiolog/management

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出版年

2024
中国实用内科杂志
中国医师协会,中国实用医学杂志社

中国实用内科杂志

CSTPCDCSCD北大核心
影响因子:1.618
ISSN:1005-2194
参考文献量28
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